MEDICARE: DEONYA GARNER

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

General Provider Information

NPI Number	:	1538900089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEONYA GARNER

Provider Business Mailing Address
First Line	:	27777 INKSTER RD STE 100
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-5312
Country	:	US
Telephone Number	:	248-436-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 W MONROE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-2778
Country	:	US
Telephone Number	:	248-436-4400
Fax Number	:

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

Provider Enumeration Date	:	06/06/2024
Last Update Date	:	03/20/2025

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Directions to “ DEONYA GARNER ” Practice Location

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