Organization · NPI-2
Advanced Autism Services Mi
Behavior Analyst · Detroit, MI
NPI number1740857952
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1740857952
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Autism Services Mi
- Organization subpart
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
400 Renaissance Ctr Ste 2600Detroit, MI 48243-1502
Phone 602-584-9860 · Fax 602-715-1135
Mailing address
211 Boulevard Of Americas Ste 402Lakewood, NJ 08701-4778
Phone 602-584-9860 · Fax 602-715-1135
Authorized official
Malkie Hersko
Director
6025849860
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Analyst providers in Detroit, MI
- Aba Direct PLLCNPI 1629752894
- Aya AboumjirNPI 1801636097
- Francine Adams, MBA, LCSWNPI 1912336546
- Duaa Al-Khafaji, MSNPI 1003275835
- Tiara Lakresha Alexander, BCBANPI 1013453539
- Khaood Ali AlraidahNPI 1235063603
- Dr. Paula Denise Anderson, Doctor of MinistryNPI 1942716634
- Aniqua BaileyNPI 1013368836
- Muriel Ann Baldwin, MS/MFT/ABANPI 1518402825
- Rachel A Barnhart, M.S., BCBANPI 1487886156