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NPI Code Detail

MEDICARE: JULIANNA GINN

MEDICARE: JULIANNA GINN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164207122
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNA GINN
Provider Business Mailing Address
First Line : 3744 GULL RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49048-7642
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3744 GULL RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49048-7642
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2023
Last Update Date : 08/29/2023

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Directions to “ JULIANNA GINN ” Practice Location

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