Individual
AUTUM HEAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4318 MILLER RD, FLINT, MI 48507-1267
(810) 666-0993
Mailing address
4318 MILLER RD, FLINT, MI 48507-1267
(810) 666-0993
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003198
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
02/18/2026
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