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NPI Code Detail

MEDICARE: KARSTIN J WENDLING LMSW, BCBA

MEDICARE:   KARSTIN J WENDLING  LMSW, BCBA
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
11041C0700XClinical Social Worker6801090519MI
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1619133766
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARSTIN J WENDLING LMSW, BCBA
Provider Business Mailing Address
First Line : 2535 22ND ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-7612
Country : US
Telephone Number : 989-430-0127
Fax Number :
Provider Business Practice Location Address
First Line : 2535 22ND ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-7612
Country : US
Telephone Number : 989-430-0127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 07/17/2024

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