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Organization

KALAMAZOO AUTISM CENTER

Active
Parent organization
WESTERN MICHIGAN UNIVERSITY
Other names
KAC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN MICHIGAN UNIVERSITY
Authorized official
DR. KELLY KOHLER BCBA-D, PHD (DIRECTOR)
(269) 599-5769
Entity
Organization

Contact information

Practice address
4200 S WESTNEDGE AVE, KALAMAZOO, MI 49008-3208
(269) 599-5769
Mailing address
4200 S WESTNEDGE AVE, KALAMAZOO, MI 49008-3208

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/16/2016
Last updated
06/16/2016
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