MEDICARE: HEIDI SEARS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1124731922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI SEARS

Provider Business Mailing Address
First Line	:	7338 MAIN ST
Second Line	:
City	:	OWENDALE
State	:	MI
Zip	:	48754-5129
Country	:	US
Telephone Number	:	989-390-3647
Fax Number	:

Provider Business Practice Location Address
First Line	:	6129 OLD STATE RD
Second Line	:
City	:	NORTH BRANCH
State	:	MI
Zip	:	48461-8137
Country	:	US
Telephone Number	:	810-625-3250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	12/27/2022

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Directions to “ HEIDI SEARS ” Practice Location

Language	Start Address	Practice Location

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