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General NPI Number Information
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NPI Number | 1043732068
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Entity Type | Individual
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Provider Name | BRITTANY MICHELLE SCHWANKE M.ED., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 9100 BROMBACH ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3473
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Country | US
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Telephone | 313-972-3050
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Fax | 313-447-1104
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Provider Business Mailing Address
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Address Line | 9100 BROMBACH ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3473
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Country | US
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Telephone | 313-972-9100
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Fax | 313-972-9040
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-17-26274
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License Number State | MI
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