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Larissa Heise, LMSW, LBA, BCBA

Behavior Analyst in Southfield, MI. Individual provider (NPI-1).

NPI number1982010567
StatusActive
Last updated in NPPESMar 13, 2020

Details

NPI
1982010567
Entity type
Individual (NPI-1)
Name
Ms. Larissa Heise
Credential
LMSW, LBA, BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2014
Certification date
Mar 13, 2020
Last updated
Mar 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-16-21863MIYes
1041C0700X Social Worker, Clinical6801096411MI

Practice location

24445 Northwestern Hwy Ste 100
Southfield, MI 48075-2436

Phone 248-483-7804

Mailing address

24445 Northwestern Hwy Ste 100
Southfield, MI 48075-2436

Phone 248-483-7804

Other practice locations

19855 Outer Dr
Dearborn, MI 48124-2022

Phone 313-359-1977

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