Provider Demographics
NPI:1467630814
Name:BRAINTRAINERS LLC
Entity Type:Organization
Organization Name:BRAINTRAINERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BAUMANIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-665-1922
Mailing Address - Street 1:2900 S STATE ST
Mailing Address - Street 2:SUITE 22
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6774
Mailing Address - Country:US
Mailing Address - Phone:734-665-1922
Mailing Address - Fax:734-665-1923
Practice Address - Street 1:2900 S STATE ST
Practice Address - Street 2:SUITE 22
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6774
Practice Address - Country:US
Practice Address - Phone:734-665-1922
Practice Address - Fax:734-665-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009602103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty