Potter, Carol

Potter, Carol is an individual health care provider with primary practice located at 2200 Hunt St , Detroit MI 48207-5605. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Potter, Carol can be contacted via phone (248) 537-2516.

Contact Information

Primary practice address
2200 Hunt St Detroit MI 48207-5605
Phone: (248) 537-2516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1003073099
LBN Legal business name Potter, Carol
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Mar 4th, 2024 - about 9 months 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 1003073099 NPPES
Other 1841905551 GROUP NPI
MEDICAID 1003073099 GROUP NPI

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