Organization
FAWN ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN D COLLINS MS, BCBA (OWNER)
(810) 220-9462
Entity
Organization
Contact information
Practice address
10850 DOVES PT, BRIGHTON, MI 48114-8000
(810) 220-9462
Mailing address
10850 DOVES PT, BRIGHTON, MI 48114-8000
(810) 220-9462
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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