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NPI Code Detail

MEDICARE: DAVID KARSTEN EISENHART M.A., BCABA

MEDICARE: DAVID KARSTEN EISENHART M.A., BCABA
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 : 1447559463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KARSTEN EISENHART M.A., BCABA
Provider Business Mailing Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number : 269-983-5833
Fax Number :
Provider Business Practice Location Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number : 269-983-5833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 11/13/2019

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