Burks, Aja

Burks, Aja is an sole proprietor health care provider with primary practice located at 17368 W 12 Mile Rd Ste 201 , Southfield MI 48076. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burks, Aja can be contacted via phone (313) 492-8452.

Contact Information

Primary practice address
17368 W 12 Mile Rd Ste 201 Southfield MI 48076
Phone: (313) 492-8452
Fax: (248) 856-3801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1588971535
LBN Legal business name Burks, Aja
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2010
Last updated Aug 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588971535 NPPES
Indiana MEDICAID 100270530

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