Modern Autism Group, LLC
Behavior Analyst in Troy, MI. Organization (NPI-2).
NPI number1669976353
StatusActive
Last updated in NPPESMar 19, 2018
Details
- NPI
- 1669976353
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Autism Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2018
- Last updated
- Mar 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Modernautism.Com (Doing Business As)
Practice location
3250 W Big Beaver Rd Ste 312-ATroy, MI 48084-2900
Phone 248-805-1474
Mailing address
3250 W Big Beaver Rd Ste 312-ATroy, MI 48084-2900
Phone 248-805-1474
Authorized official
Dalen Hanna
Member
2488051474
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