Provider Demographics
NPI:1982188660
Name:UNIQUE LEARNING SOLUTIONS, CORP.
Entity type:Organization
Organization Name:UNIQUE LEARNING SOLUTIONS, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:RACHELE
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA, CBIS
Authorized Official - Phone:248-342-8688
Mailing Address - Street 1:5961 NORTHRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1872
Mailing Address - Country:US
Mailing Address - Phone:248-599-9533
Mailing Address - Fax:
Practice Address - Street 1:5961 NORTHRIDGE CIR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1872
Practice Address - Country:US
Practice Address - Phone:248-599-9533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty