MEDICARE: SCHOOL TIME ABA 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1457211203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOL TIME ABA LLC

Provider Business Mailing Address
First Line	:	2751 E JEFFERSON AVE STE 400
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-4105
Country	:	US
Telephone Number	:	313-351-3811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2751 E JEFFERSON AVE STE 400
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-4105
Country	:	US
Telephone Number	:	313-351-3811
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER & FOUNDER
Name	:	ANGEL ALLWOOD
Credential	:
Telephone Number	:	313-351-3811

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	12/07/2025

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Directions to “SCHOOL TIME ABA LLC ” Practice Location

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