Provider Demographics
NPI:1841897766
Name:PLUTA, LINDSAY ANN (MSC, BCBA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:PLUTA
Suffix:
Gender:F
Credentials:MSC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24121 DEANHURST ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48082-2161
Mailing Address - Country:US
Mailing Address - Phone:586-854-7601
Mailing Address - Fax:
Practice Address - Street 1:32525 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-1995
Practice Address - Country:US
Practice Address - Phone:586-684-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-04
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician