Organization
CHOICE AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA KINNEBREW (PRESIDENT)
(800) 503-4150
Entity
Organization
Contact information
Practice address
304 W 9TH ST, TRAVERSE CITY, MI 49684-3122
(231) 383-8231
(231) 346-6138
Mailing address
3182 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3248
(800) 503-4150
(231) 346-6138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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