Gifted Autism Services LLC

NPI #1063092989 in Rockford, Michigan

Provider Information

NPI Number: 1063092989
Entity Type: Organization
Organization Name: Gifted Autism Services LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 13, 2021
Last Updated: Apr 13, 2021

Practice Location

Address: 4557 13 MILE RD NE
City: Rockford
State: Michigan
ZIP Code: 49341-8623
Phone: (616) 213-2965

Authorized Official

Name: NICOLE WHITE, LBA, BCBA
Title: BCBA/OWNER
Phone: (616) 213-2965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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