Provider Demographics
NPI:1194333542
Name:NATION OF WONDERS INCLUSIVE EDUCATION
Entity type:Organization
Organization Name:NATION OF WONDERS INCLUSIVE EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/ CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:JOYCLYN MARIE
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:248-850-0871
Mailing Address - Street 1:19211 BEECH DALY RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-1418
Mailing Address - Country:US
Mailing Address - Phone:313-766-4020
Mailing Address - Fax:
Practice Address - Street 1:19211 BEECH DALY RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-1418
Practice Address - Country:US
Practice Address - Phone:313-766-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty