| Willow Creek Aba Llc | |
|
4540 Collins Rd Apt 3216 Lansing MI 48910-8406 | |
| (323) 203-9740 | |
| Not Available |
| Full Name | Willow Creek Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4540 Collins Rd Apt 3216, Lansing, Michigan |
| Authorized Official Name and Position | Trevor Muska (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3232039740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Aba Llc 4540 Collins Rd Apt 3216 Lansing MI 48910-8406 Ph: (323) 203-9740 | Willow Creek Aba Llc 4540 Collins Rd Apt 3216 Lansing MI 48910-8406 Ph: (323) 203-9740 |
| NPI Number | 1902777881 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902777881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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