T.R.A.C. Therapy Research Autism Center

LBN: Trac Autism Center Inc.
T.R.A.C. Therapy Research Autism Center is an health care organization with primary practice located at 10751 S Saginaw St Ste E , Grand Blanc MI 48439-8169. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Research, Ambulatory Health Care Facilities / Rural Health, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Trac Autism Center Inc. can be contacted via phone (586) 404-9400, or through Gillette, Lisa via phone (989) 513-0782.

Contact Information

Primary practice address
10751 S Saginaw St Ste E Grand Blanc MI 48439-8169
Phone: (586) 404-9400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gillette, Lisa
Phone: (989) 513-0782

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Ambulatory Health Care Facilities / Research 261QR1100X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1154889459
LBN Legal business name Trac Autism Center Inc.
DBA Doing business as T.R.A.C. Therapy Research Autism Center
Authorized official Gillette, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2019
Last updated Feb 22nd, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154889459 NPPES
Michigan MEDICAID 1124405873

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