Organization
SPECTRUM AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEASA ANDROL MA, BCBA (CLINICAL DIRECTOR)
(989) 702-2082
Entity
Organization
Contact information
Practice address
3949 N RIVER RD, FREELAND, MI 48623-8856
(989) 702-2082
(989) 355-1398
Mailing address
3949 N RIVER RD, FREELAND, MI 48623-8856
(989) 702-2082
(989) 355-1398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-1416719
—
Other
Enumeration date
07/07/2015
Last updated
09/14/2021
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