Organization · NPI-2

Trac Autism Center INC.

Behavior Analyst · Grand Blanc, MI

NPI number1154889459

StatusActive

Last updated in NPPESOct 19, 2026

Details

NPI: 1154889459
Entity type: Organization (NPI-2)
Legal business name: Trac Autism Center INC.
Organization subpart: No
Enumeration date: Mar 5, 2019
Certification date: Oct 19, 2026
Last updated: Oct 19, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103K00000X	Behavior Analyst	–	–	Yes
106E00000X	Assistant Behavior Analyst	–	–
106H00000X	Marriage & Family Therapist	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
252Y00000X	Early Intervention Provider Agency	–	–
261Q00000X	Clinic/Center	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QM2500X	Clinic/Center, Medical Specialty	–	–
261QR1100X	Clinic/Center, Research	–	–
261QR1300X	Clinic/Center, Rural Health	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Other names

T.R.A.C. Therapy Research Autism Center (Former Legal Business Name)

Practice location

10751 S Saginaw St Ste E
Grand Blanc, MI 48439-8169

Phone 586-404-9400

Mailing address

3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917

Phone 586-404-9400

Authorized official

Wilmar Suan
President / Ceo
7345132731

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