Organization
FAIRCLOUGH BEHAVIOR SERVICES MI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAUN PAUL FAIRCLOUGH BCBA (OWNER)
(770) 608-7317
Entity
Organization
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(770) 608-7317
(770) 212-3714
Mailing address
3852 MIRANDA CT, SUWANEE, GA 30024-8670
(770) 608-7317
(770) 212-3714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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