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General NPI Number Information
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NPI Number | 1386508869
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Entity Type | Organization
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Legal Business Name | COOL.AUTISTIC.TEACHING(C.A.T),
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 14501 PEARSON ST
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City | OAK PARK
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State | MI
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Zip | 48237-2607
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Country | US
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Telephone | 313-268-4202
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Fax |
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Provider Business Mailing Address
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Address Line | 14501 PEARSON ST
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City | OAK PARK
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State | MI
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Zip | 48237-2607
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Country | US
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Telephone | 313-268-4202
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TONYA FAYE WILEY
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Credential |
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Telephone | 313-268-4202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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