NPI 1740857952 · live from the CMS NPI Registry
Advanced Autism Services Mi
Behavior Analyst in Detroit, MI. National Provider Identifier 1740857952, active.
NPI record
| NPI | 1740857952 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 |
| Practice phone | 602-584-9860 |
| Mailing address | 211 Boulevard Of Americas Ste 402, Lakewood, NJ 08701 |
| Enumerated | June 7, 2021 |
| Last updated | June 7, 2021 |
| Authorized official | Malkie Hersko, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.