| NPI | 1447709548 |
|---|---|
| Doing Business As | MOMENTUM AUTISM THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LANDRIA GREEN President 248-919-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000784) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |