NPI 1376926162 · live from the CMS NPI Registry
Aba Connections Of Central Michigan, LLC
Behavior Analyst in Midland, MI. National Provider Identifier 1376926162, active.
NPI record
| NPI | 1376926162 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3301 Ridecrest Dr, Midland, MI 48642 |
| Practice phone | 989-839-2290 |
| Mailing address | 3301 Ridgecrest Dr, Midland, MI 48642 |
| Enumerated | June 30, 2015 |
| Last updated | June 30, 2015 |
| Authorized official | Tina Marcellis, Owner |
| Other names | Aba Connections |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-00-0120 |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 6301015991 (MI) |
| Behavior Analyst primary | 103K00000X | 1-13-14525 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.