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Organization

CYGNUS CONSULTING LLC

Active
Parent organization
CYGNUS CONSULTING LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CYGNUS CONSULTING LLC
Authorized official
MS. CAROL A POTTER MA, BCBA, LBA (CLINICAL DIRECTOR)
(248) 537-2516
Entity
Organization

Contact information

Practice address
2200 HUNT ST, DETROIT, MI 48207-5605
(313) 228-2884
Mailing address
2200 HUNT ST, DETROIT, MI 48207-5605
(313) 228-2884

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
261QD1600X
Developmental Disabilities Clinic/Center
261QH0700X
Hearing and Speech Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/17/2023
Last updated
04/19/2024
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