Organization
INTEGRATED AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVANA VYAS (PRESIDENT)
(313) 732-1234
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR STE 208, CLINTON TWP, MI 48038-3593
(586) 263-1818
(586) 314-6044
Mailing address
43475 DALCOMA DR STE 208, CLINTON TWP, MI 48038-3593
(586) 263-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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