Healthcare Provider Details
I. General information
NPI: 1811814023
Provider Name (Legal Business Name): REACH HIGHER ABA MICHIGAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2479 WOODLAKE CIR STE 340
OKEMOS MI
48864-6931
US
IV. Provider business mailing address
700 ROCKAWAY TPKE STE 202
LAWRENCE NY
11559-1014
US
V. Phone/Fax
- Phone: 917-423-6997
- Fax:
- Phone: 917-423-6997
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOSEF
GALEN
Title or Position: CEO
Credential:
Phone: 917-423-6997