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NPI Code Detail

MEDICARE: ROBERT GUISE BCBA

MEDICARE: ROBERT GUISE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1851807846
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT GUISE BCBA
Provider Business Mailing Address
First Line : 2400 SCIENCE PKWY
Second Line :
City : OKEMOS
State : MI
Zip : 48864-5506
Country : US
Telephone Number : 517-374-8066
Fax Number :
Provider Business Practice Location Address
First Line : 1211 W NORTH ST
Second Line :
City : JACKSON
State : MI
Zip : 49202-3132
Country : US
Telephone Number : 517-513-3297
Fax Number : 517-513-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 06/16/2025

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Directions to “ ROBERT GUISE BCBA” Practice Location

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