| NPI | 1023734019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN THWAINEY Member 248-943-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |