AUTISM SUPPORT SERVICES CENTER NPI 1477281558

NPI Information

  • NPI: 1477281558
  • Provider Name: AUTISM SUPPORT SERVICES CENTER
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 16778 NORBORNE
    REDFORD CHARTER TOWNSHIP, MI
    ZIP 48240
  • Phone: (313) 740-7060

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NPI Details

AUTISM SUPPORT SERVICES CENTER is a developmental disabilities clinic center in Redford Charter Township, MI. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). AUTISM SUPPORT SERVICES CENTER NPI is 1477281558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16778 NORBORNE
REDFORD CHARTER TOWNSHIP, MI
ZIP 48240-830
Phone: (313) 740-7060

The provider's authorized official is Lakeya Nico Martin .
The authorized official title is Executive Director and has the following contact phone number (313) 740-7060.

The enumeration date for this NPI number is 8/8/2022 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
21041C0700XSocial WorkerClinicalNo
3106E00000XAssistant Behavior AnalystNo
4106S00000XBehavior TechnicianNo
5171M00000XCase Manager/Care CoordinatorNo
6172A00000XDriverNo
7222Q00000XDevelopmental TherapistNo
8225CA2400XRehabilitation CounselorAssistive Technology PractitionerNo
9251C00000XDay Training, Developmentally Disabled ServicesNo
10261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
11320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
12385H00000XRespite CareNo
13385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
14261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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