Healthcare Provider Details

I. General information

NPI: 1982188660
Provider Name (Legal Business Name): UNIQUE LEARNING SOLUTIONS, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5961 NORTHRIDGE CIR
WATERFORD MI
48327-1872
US

IV. Provider business mailing address

5961 NORTHRIDGE CIR
WATERFORD MI
48327-1872
US

V. Phone/Fax

Practice location:
  • Phone: 248-599-9533
  • Fax:
Mailing address:
  • Phone: 248-599-9533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMMI RACHELE MCCOY
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential: LBA, BCBA, CBIS
Phone: 248-342-8688