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NPI 1962189142

NPI 1962189142 : THE LINDEN CENTER : NORTHVILLE, MI

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General NPI Number Information
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    NPI Number           |    1962189142
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE LINDEN CENTER 
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Dates
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    Enumeration Date     |    06/29/2023
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    Last Update Date     |    01/16/2026
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Provider Practice Location Address
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    Address Line         |    16635 RIDGE RD 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48168-9530
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    Country              |    US
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    Telephone            |    734-788-6897
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16635 RIDGE RD 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48168-9530
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL DIRECTOR/BCBA
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    Name                 |     SARA  BRIDGES 
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    Credential           |    MA, BCBA, LBA
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    Telephone            |    734-788-6897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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