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NPI Code Detail

MEDICARE: MICHELLE LOREN BCABA

MEDICARE: MICHELLE LOREN BCABA
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
1247200000XOther TechnicianMI
2106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1760839492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LOREN BCABA
Provider Business Mailing Address
First Line : 5224 COPLEY SQUARE RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8642
Country : US
Telephone Number : 810-845-3219
Fax Number :
Provider Business Practice Location Address
First Line : 2521 N ELMS RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9423
Country : US
Telephone Number : 810-487-5571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2016
Last Update Date : 08/12/2025

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Directions to “ MICHELLE LOREN BCABA” Practice Location

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