| NPI | 1962189142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BRIDGES Clinical Director/Bcba 734-788-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2026-01-16 |