Organization
ANNEDON BRIGHTON LLC
Active
Other names
Strive Centers for Autism
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GRIFFITH (BILLING SPECIALIST)
(517) 403-9776
Entity
Organization
Contact information
Practice address
10031 SPENCER RD, SUITE A, BRIGHTON, MI 48114-3806
(810) 344-8082
(810) 222-0279
Mailing address
10031 SPENCER RD, SUITE A, BRIGHTON, MI 48114-3806
(810) 344-8082
(810) 222-0279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-1007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D70431
BCBSM
MI
Enumeration date
12/01/2014
Last updated
10/13/2021
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