Healthcare Provider Details

I. General information

NPI: 1679107056
Provider Name (Legal Business Name): CALIBER AUTISM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 W LONG LAKE RD STE 101
TROY MI
48098-4443
US

IV. Provider business mailing address

1175 W LONG LAKE RD STE 101
TROY MI
48098-4443
US

V. Phone/Fax

Practice location:
  • Phone: 248-244-8728
  • Fax: 248-927-7050
Mailing address:
  • Phone: 248-244-8728
  • Fax: 248-927-5070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NAVNEET ANAND
Title or Position: CEO
Credential:
Phone: 248-245-8728