Organization
SMITHS SAFE HAVEN AUTISM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALA SMITH M.A, BCBA, LBA (CEO/BCBA)
(248) 904-4152
Entity
Organization
Contact information
Practice address
4043 NOTTINGHAM CIR, CLARKSTON, MI 48346-1759
(248) 904-4152
Mailing address
4043 NOTTINGHAM CIR, CLARKSTON, MI 48346-1759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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