Organization
INFINITY AUTISM SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN RUCKER MA, BCBA, LBA (BEHAVIOR ANALYST)
(313) 889-8780
Entity
Organization
Contact information
Practice address
35270 NANKIN BLVD STE 501B, WESTLAND, MI 48185-7221
(313) 889-8780
Mailing address
35270 NANKIN BLVD STE 501B, WESTLAND, MI 48185-7221
(313) 889-8780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
01/11/2025
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