Healthcare Provider Details

I. General information

NPI: 1427703248
Provider Name (Legal Business Name): BF AUTISM CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 JEFFERSON AVE
MIDLAND MI
48640-4528
US

IV. Provider business mailing address

2719 JEFFERSON AVE
MIDLAND MI
48640-4528
US

V. Phone/Fax

Practice location:
  • Phone: 989-315-4414
  • Fax: 989-393-5974
Mailing address:
  • Phone: 989-315-4414
  • Fax: 989-393-5974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON MESSING
Title or Position: CO-OWNER
Credential: MED
Phone: 989-315-4414