Organization
COMPREHENSIVE EARLY AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY WESSELS (CREDENTIALING ADMINISTRATOR)
(312) 914-0611
Entity
Organization
Contact information
Practice address
5877 LIVERNOIS RD, TROY, MI 48098-3100
(734) 545-6335
Mailing address
5877 LIVERNOIS RD, TROY, MI 48098-3100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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