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NPI Code Detail

MEDICARE: KIMBERLY STEELE

MEDICARE: KIMBERLY STEELE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1720923758
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY STEELE
Provider Business Mailing Address
First Line : 2255 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-4819
Country : US
Telephone Number : 269-257-9060
Fax Number :
Provider Business Practice Location Address
First Line : 2255 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-4819
Country : US
Telephone Number : 269-257-9060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ KIMBERLY STEELE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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