Organization
AUTISM EVOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE AMELIA ROUSSEAU (CEO)
(989) 280-5182
Entity
Organization
Contact information
Practice address
6907 WESTSIDE SAGINAW RD STE 4, BAY CITY, MI 48706-9348
(989) 280-5182
Mailing address
6907 WESTSIDE SAGINAW RD STE 4, BAY CITY, MI 48706-9348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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