Organization
THERAPY CORE, LLC
Active
Other names
Momentum Autism Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
LANDRIA GREEN BCBA (PRESIDENT)
(248) 919-8627
Entity
Organization
Contact information
Practice address
42861 STRATFORD DR, BELLEVILLE, MI 48111-1729
(248) 919-8627
Mailing address
42861 STRATFORD DR, BELLEVILLE, MI 48111-1729
(248) 919-8627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
7101000784
MI
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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