Andrus, Autumn
Andrus, Autumn is an individual health care provider with primary practice located at 2622 Briarwood Ct Se , Kentwood MI 49512-9084. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Andrus, Autumn can be contacted via phone (517) 285-5260.Contact Information
Primary practice address
2622 Briarwood Ct Se
Kentwood MI 49512-9084
Phone: (517) 285-5260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
NPI number | 1245789429 |
---|---|
LBN Legal business name | Andrus, Autumn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2016 |
Last updated | Nov 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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