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Organization

INSPIRE AUTISM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAYTON BOUDREAU BCBA, LBA (FOUNDER/CCO)
(248) 417-4237
Entity
Organization

Contact information

Practice address
39525 W 14 MILE RD STE 100, NOVI, MI 48377-1635
(248) 417-4237
Mailing address
39525 W 14 MILE RD STE 100, NOVI, MI 48377-1635
(248) 417-4237

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
05/13/2020
Last updated
10/10/2023
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