Organization
SOUTHEAST MICHIGAN ABA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAM VYAS (CEO)
(248) 410-7677
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR STE 210, CLINTON TOWNSHIP, MI 48038-3593
(248) 410-7677
Mailing address
1678 WYNGATE DR, TROY, MI 48098-6545
(248) 410-7677
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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