Provider Demographics
NPI:1902275126
Name:ROBINSON, AUTUMN (MS, LBA, BCBA)
Entity Type:Individual
Prefix:
First Name:AUTUMN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS, LBA, BCBA
Other - Prefix:
Other - First Name:AUTUMN
Other - Middle Name:
Other - Last Name:ZOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LBA, BCBA
Mailing Address - Street 1:131 RIVERVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9139
Mailing Address - Country:US
Mailing Address - Phone:586-913-5217
Mailing Address - Fax:
Practice Address - Street 1:131 RIVERVIEW CIR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-9139
Practice Address - Country:US
Practice Address - Phone:586-913-5217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst