MEDICARE: DE'AYREE DAYSHAWNA GENERAL

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		MI

General Provider Information

NPI Number	:	1518825843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DE'AYREE DAYSHAWNA GENERAL

Provider Business Mailing Address
First Line	:	5039 VILLA LINDE PKWY STE 30
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3450
Country	:	US
Telephone Number	:	989-401-2244
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 STATE ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-3490
Country	:	US
Telephone Number	:	989-401-2244
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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