Canton BCC LLC

Speech-Language Pathologist · Canton, MI

Organization Active NPI

NPI number 1265250500

Practice location

39453 Ford Rd
Canton, MI 48187-4320
Phone
(248) 277-3005

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NPI record

NPI
1265250500
Entity type
Organization (Type 2)
Enumeration date
September 26, 2024
Last updated
September 26, 2024
Certified
September 26, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —
Pediatric Occupational Therapist 225XP0200X — —

Authorized official

Name
Ziad Koza
Title
CEO
Phone
(248) 860-6212

About Canton BCC LLC

Canton BCC LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 39453 Ford Rd, Canton, MI 48187-4320. The NPI number 1265250500 was assigned on September 26, 2024 and the record was last updated on September 26, 2024.

The authorized official for this organization is Ziad Koza, CEO.

Frequently asked questions

What is the NPI number of Canton BCC LLC?

The NPI number is 1265250500.

What is the phone number of Canton BCC LLC?

The phone number listed for the practice location is (248) 277-3005.

Where is Canton BCC LLC located?

39453 Ford Rd, Canton, MI 48187-4320.

What is the taxonomy code for Canton BCC LLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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