<Unavail>

LBN: Modern Autism Group, Llc
<Unavail> is an health care organization with primary practice located at 3250 W Big Beaver Rd Ste 312-A , Troy MI 48084-2900. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Modern Autism Group, Llc can be contacted via phone (248) 805-1474, or through Hanna, Dalen via phone (248) 805-1474.

Contact Information

Primary practice address
3250 W Big Beaver Rd Ste 312-A Troy MI 48084-2900
Phone: (248) 805-1474
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hanna, Dalen
Phone: (248) 805-1474

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669976353
LBN Legal business name Modern Autism Group, Llc
DBA Doing business as <Unavail>
Authorized official Hanna, Dalen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2018
Last updated Mar 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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