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NPI Code Detail

MEDICARE: PIECE BY PIECE AUTISM THERAPY P.L.C.

MEDICARE: PIECE BY PIECE AUTISM THERAPY P.L.C.
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
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1891310579
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIECE BY PIECE AUTISM THERAPY P.L.C.
Provider Business Mailing Address
First Line : 8032 LAKESHORE RD
Second Line :
City : LEXINGTON
State : MI
Zip : 48450-9719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8032 LAKESHORE RD
Second Line :
City : LEXINGTON
State : MI
Zip : 48450-9719
Country : US
Telephone Number : 810-201-4987
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ASHLEIGH M BANKS
Credential : BCBA LBA
Telephone Number : 810-625-3250
Provider Enumeration Date : 06/09/2020
Last Update Date : 10/16/2023

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Directions to “PIECE BY PIECE AUTISM THERAPY P.L.C. ” Practice Location

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