Organization
BEHAVIOR-CISE, ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUISE TOTTY BCBA, LBA (OWNER, OPERATOR)
(313) 580-1585
Entity
Organization
Contact information
Practice address
1815 ESTATES DR, DETROIT, MI 48206-2826
(313) 580-1585
Mailing address
1815 ESTATES DR, DETROIT, MI 48206-2826
(313) 580-1585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/26/2024
Last updated
01/29/2024
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