- Practice location
- 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502
- Phone
- 602-584-9860
- Fax
- 602-715-1135
- Last updated
- June 7, 2021
Advanced Autism Services Mi is a healthcare organization based in Detroit, MI. Advanced Autism Services Mi practices in Detroit, MI. The NPI Number for Advanced Autism Services Mi is 1740857952. The current practice location address for Advanced Autism Services Mi is 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 and can be reached out via phone at 602-584-9860 and via fax at 602-715-1135.
Provider Profile Details
- NPI Number
- 1740857952
- Provider Name
- Advanced Autism Services Mi
- Provider Entity Type
- Organization
- Address
- 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502
- Phone Number
- 602-584-9860
- Fax Number
- 602-715-1135
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Malkie Hersko, MS CCC SLP · Director · 602-584-9860
- Provider Enumeration Date
- June 7, 2021
- Last Update Date
- June 7, 2021
- Certification Date
- June 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502 - City
- Detroit
- State
- Michigan
- Zip
- 48243-1502
- Phone Number
- 602-584-9860
- Fax Number
- 602-715-1135
Provider Business Mailing Address Details
- Address
- 211 Boulevard Of Americas Ste 402
Lakewood, NJ 08701-4778 - City
- Lakewood
- State
- NJ
- Zip
- 08701-4778
- Phone Number
- 602-584-9860
- Fax Number
- 602-715-1135
License Information
- Taxonomy (1)
- Behavior Technician · 106S00000X
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Autism Services Mi?
The NPI number of Advanced Autism Services Mi is 1740857952. It was assigned on June 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Advanced Autism Services Mi?
Advanced Autism Services Mi is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Advanced Autism Services Mi practice?
The practice location is 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502. The office can be reached at 602-584-9860 (phone) or 602-715-1135 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740857952 directly on the NPPES registry website.