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NPI Code Detail

MEDICARE: SHATEA HILL

MEDICARE: SHATEA HILL
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 TechnicianMI

General Provider Information

NPI Number : 1295682920
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHATEA HILL
Provider Business Mailing Address
First Line : 10327 GRAND RIVER RD
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-6500
Country : US
Telephone Number : 800-787-5118
Fax Number :
Provider Business Practice Location Address
First Line : 10327 GRAND RIVER RD STE 401
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-6501
Country : US
Telephone Number : 800-787-5118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/19/2026

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Directions to “ SHATEA HILL ” Practice Location

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