NPI 1508428483 · live from the CMS NPI Registry
Aba And Play LLC
Behavior Analyst in Saint Clair Shores, MI. National Provider Identifier 1508428483, active.
NPI record
| NPI | 1508428483 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 21701 Cedar St, Saint Clair Shores, MI 48081 |
| Practice phone | 586-872-7282 |
| Enumerated | July 1, 2019 |
| Last updated | July 1, 2019 |
| Authorized official | James Nuse, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist | 225800000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.