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NPI Code Detail

MEDICARE: ANNELIESE RICE MA BCBA LBA

MEDICARE: ANNELIESE RICE MA BCBA LBA
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 Analyst7401002604MI

General Provider Information

NPI Number : 1770127433
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNELIESE RICE MA BCBA LBA
Provider Business Mailing Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number : 269-983-5833
Fax Number :
Provider Business Practice Location Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number : 269-983-5833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 02/09/2026

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Directions to “ ANNELIESE RICE MA BCBA LBA” Practice Location

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