Book, Autumn

Book, Autumn is an individual health care provider with primary practice located at 6720 Tomahawk Trl , Grayling MI 49738. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Book, Autumn can be contacted via phone (989) 915-0764.

Contact Information

Primary practice address
6720 Tomahawk Trl Grayling MI 49738
Phone: (989) 915-0764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1922543073
LBN Legal business name Book, Autumn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2016
Last updated Dec 28th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922543073 NPPES
Michigan MEDICAID 34991694

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