MEDICARE: MS. ANASTASIA ATHANASIA KOLIAS MS, BCBA

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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659797884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANASTASIA ATHANASIA KOLIAS MS, BCBA

Provider Business Mailing Address
First Line	:	22436 NONA ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2723
Country	:	US
Telephone Number	:	313-580-8868
Fax Number	:

Provider Business Practice Location Address
First Line	:	3471 E GRAND RIVER AVE
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48843-8552
Country	:	US
Telephone Number	:	313-580-8868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2014
Last Update Date	:	08/15/2023

Similar Medicare Providers

1154969517 — PHARMACARE DRUGS 3 INC
Practice Location Address:

3439 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 313-485-1411
Practice Fax: 734-879-0995

1023437456 — CARRANDA KOOP M.D.
Practice Location Address:

3477 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 517-234-6540
Practice Fax: 517-338-9083

1669854386 — DENISE QUIETA
Practice Location Address:

3471 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 517-803-4343
Practice Fax:

1538641220 — MRS. JESSICA MILLER
Practice Location Address:

3471 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 734-309-8198
Practice Fax:

1164906392 — ERIN OBSNIUK CNP
Practice Location Address:

3477 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 517-234-6540
Practice Fax: 517-338-9083

1366092868 — JULIE HOFFMAN
Practice Location Address:

3471 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 734-899-7250
Practice Fax:

Directions to “ MS. ANASTASIA ATHANASIA KOLIAS MS, BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.