Organization
ADVANCE ABA , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDISATAR A MURIDI (ADMINISTRATOR)
(517) 402-7418
Entity
Organization
Contact information
Practice address
2021 MONROE ST, DEARBORN, MI 48124-2926
(517) 245-4778
(517) 698-8223
Mailing address
PO BOX 12279, LANSING, MI 48901-2279
(517) 245-4778
(517) 698-8223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/18/2024
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