Organization
ABA INSIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARIE FUQUA M.A., BCBA (PRESIDENT)
(734) 972-2550
Entity
Organization
Contact information
Practice address
6267 WEBSTER CHURCH RD, DEXTER, MI 48130-9659
(734) 972-2550
Mailing address
6267 WEBSTER CHURCH RD, DEXTER, MI 48130-9659
(734) 972-2550
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
11313269
MI
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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