Organization
ASD SMART KIDS
Active
Parent organization
ASD SMART KIDS
Other names
ASD Smart Kids
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASD SMART KIDS
Authorized official
MICHAEL B CARRAUTHERS. PH.D. (EXECUTIVE DIRECTOR)
(313) 412-6451
Entity
Organization
Contact information
Practice address
337 SYLVAN DR, CANTON, MI 48188-1596
(313) 412-6451
Mailing address
337 SYLVAN DR, CANTON, MI 48188-1596
(313) 412-6451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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