| Trac Autism Center Inc. | |
|
10751 S Saginaw St Ste E Grand Blanc MI 48439-8169 | |
| (586) 404-9400 | |
| Not Available |
| Full Name | Trac Autism Center Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10751 S Saginaw St Ste E, Grand Blanc, Michigan |
| Authorized Official Name and Position | Lisa Gillette (BUSINESS MANAGER) |
| Authorized Official Contact | 9895130782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trac Autism Center Inc. 3290 W Big Beaver Rd Ste 510 Troy MI 48084-2917 Ph: (586) 404-9400 | Trac Autism Center Inc. 10751 S Saginaw St Ste E Grand Blanc MI 48439-8169 Ph: (586) 404-9400 |
| NPI Number | 1154889459 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154889459 | NPI | - | NPPES |
| 1124405873 | Medicaid | MI |
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