Madame Paulettes Regal Services

NPI #1215595061 in Detroit, Michigan

Provider Information

NPI Number: 1215595061
Entity Type: Organization
Organization Name: Madame Paulettes Regal Services
Subpart: Yes (part of a larger organization)
Parent Organization: MADAME PAULETTE'S REGAL SERVICES LLC.
Primary Specialty: Behavior Technician
Enumeration Date: Jun 5, 2019
Last Updated: Jul 3, 2023

Practice Location

Address: 12630 KELLY RD
City: Detroit
State: Michigan
ZIP Code: 48224-1502
Phone: (313) 854-8655

Authorized Official

Name: PAULETTE MCCLAIN
Title: DIRECTOR OF OPERATION MANAGER
Phone: (313) 854-8655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X
In Home Supportive Care	253Z00000X
Health Maintenance Organization	302R00000X
Private Vehicle	347C00000X
Community/Behavioral Health	251S00000X
Home Health	251E00000X
Nursing Care	251J00000X
Behavior Technician	106S00000X	Primary

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