Autism Services of Michiana LLC

NPI #1982059069 in Mishawaka, Indiana

Provider Information

NPI Number: 1982059069
Entity Type: Organization
Organization Name: Autism Services of Michiana LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 26, 2016
Last Updated: Apr 26, 2016

Practice Location

Address: 4201 COTTAGE AVE
City: Mishawaka
State: Indiana
ZIP Code: 46544-3848
Phone: (574) 383-0107

Authorized Official

Name: MS. SHERRY R FORZLEY, MA, BCBA
Title: BOARD CERTIFIED BEHAVIOR ANALYST
Phone: (574) 383-0107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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