Healthcare Provider Details

I. General information

NPI: 1649067935
Provider Name (Legal Business Name): BUZZ UP MEDIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11214 WINDMILL CT
STERLING HEIGHTS MI
48313-3272
US

IV. Provider business mailing address

11214 WINDMILL CT
STERLING HEIGHTS MI
48313-3272
US

V. Phone/Fax

Practice location:
  • Phone: 586-306-8517
  • Fax:
Mailing address:
  • Phone: 586-306-8517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA G NAULA QUINTERO
Title or Position: CEO
Credential: BCBA
Phone: 586-306-8517