Individual
ROBERT DANIEL BANKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(248) 739-2149
(734) 467-7636
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI
Other
Enumeration date
01/15/2020
Last updated
08/14/2023
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