Organization
GROWING MINDS ABA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY KAUMP (OWNER/CEO)
(248) 910-3397
Entity
Organization
Contact information
Practice address
36216 FREEDOM RD UNIT 137, FARMINGTON HILLS, MI 48335-3002
(248) 257-3881
Mailing address
36216 FREEDOM RD UNIT 137, FARMINGTON HILLS, MI 48335-3002
(248) 257-3881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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