Organization
CARLYLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE STEINER (MANAGING DIRECTOR)
(313) 580-9716
Entity
Organization
Contact information
Practice address
347 BELANGER ST, GROSSE POINTE FARMS, MI 48236-3333
(313) 580-9716
Mailing address
347 BELANGER ST, GROSSE POINTE FARMS, MI 48236-3333
(313) 580-9716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
NUCC
—
01
—
1518510239
BACB
—
01
—
1598123556
BACB
—
01
—
1962892935
BACB
—
Enumeration date
12/17/2018
Last updated
12/11/2024
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