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NPI Code Detail

MEDICARE: ASHLEIGH ROSE KLIMKIEWICZ

MEDICARE: ASHLEIGH ROSE KLIMKIEWICZ
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 Analyst7401002580MI
2156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1578128245
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEIGH ROSE KLIMKIEWICZ
Provider Business Mailing Address
First Line : 32100 TELEGRAPH RD STE 205
Second Line :
City : BINGHAM FARMS
State : MI
Zip : 48025-2454
Country : US
Telephone Number : 248-712-4266
Fax Number :
Provider Business Practice Location Address
First Line : 124 ELTON HILLS LN NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-3577
Country : US
Telephone Number : 507-292-1006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2019
Last Update Date : 11/19/2024

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Directions to “ ASHLEIGH ROSE KLIMKIEWICZ ” Practice Location

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