Organization
FENTON ABA INC
Active
Other names
FENTON ABA INC
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN ALVARADO O.D. (PRESIDENT AND CEO)
(810) 629-3070
Entity
Organization
Contact information
Practice address
212 W SILVER LAKE RD, FENTON, MI 48430-2606
(810) 629-3070
Mailing address
212 W SILVER LAKE RD, FENTON, MI 48430-2606
(810) 629-3070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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