Organization
TREEHOUSE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN THWAINEY (MEMBER)
(248) 943-4053
Entity
Organization
Contact information
Practice address
29500 TELEGRAPH RD STE 200, SOUTHFIELD, MI 48034-1340
(248) 943-4053
Mailing address
29500 TELEGRAPH RD STE 200, SOUTHFIELD, MI 48034-1340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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