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NPI Code Detail

MEDICARE: FUTURE FOCUSED THERAPIES LLC

MEDICARE: FUTURE FOCUSED THERAPIES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1205697802
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUTURE FOCUSED THERAPIES LLC
Provider Business Mailing Address
First Line : 1209 PINE ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-1512
Country : US
Telephone Number : 810-417-1206
Fax Number :
Provider Business Practice Location Address
First Line : 181 E HURON AVE
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1314
Country : US
Telephone Number : 810-214-2641
Fax Number :
Authorized Official
Title or Position : FOUNDER AND CLINICAL DIRECTOR
Name : MR. DANIEL JOSEPH GILDNER
Credential : MS, BCBA, LBA
Telephone Number : 810-417-1206
Provider Enumeration Date : 01/19/2024
Last Update Date : 11/05/2024

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Directions to “FUTURE FOCUSED THERAPIES LLC ” Practice Location

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