Healthcare Provider Details
I. General information
NPI: 1851009054
Provider Name (Legal Business Name): A SENSE OF AUTISM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2022
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2632 S MILFORD RD STE B
HIGHLAND MI
48357-4938
US
IV. Provider business mailing address
2632 S MILFORD RD STE B
HIGHLAND MI
48357-4938
US
V. Phone/Fax
- Phone: 248-294-0666
- Fax: 248-927-0699
- Phone: 248-294-0666
- Fax: 248-927-0699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAHAR
HASSANE
Title or Position: CLINICAL DIRECTOR
Credential: M.ED., BCBA
Phone: 352-667-5576