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NPI Code Detail

MEDICARE: JULIA EAGER

MEDICARE: JULIA EAGER
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1336837046
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA EAGER
Provider Business Mailing Address
First Line : 2222 N LAPEER RD
Second Line :
City : LAPEER
State : MI
Zip : 48446-8619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2222 N LAPEER RD
Second Line :
City : LAPEER
State : MI
Zip : 48446-8619
Country : US
Telephone Number : 810-358-0373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/01/2023

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Directions to “ JULIA EAGER ” Practice Location

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