Organization
FAMILY NEST ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA XIAO M.ED, BCBA (EXECUTIVE DIRECTOR)
(616) 808-7899
Entity
Organization
Contact information
Practice address
7089 BLACK FOREST DR NE, ROCKFORD, MI 49341-7815
(616) 808-7899
Mailing address
7089 BLACK FOREST DR NE, ROCKFORD, MI 49341-7815
(616) 808-7899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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