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General NPI Number Information
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NPI Number | 1336943703
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Entity Type | Organization
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Legal Business Name | INTEGRA BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 25625 KENNEDY ST
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City | DEARBORN HTS
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State | MI
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Zip | 48127-3839
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Country | US
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Telephone | 313-550-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 25625 KENNEDY ST
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City | DEARBORN HTS
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State | MI
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Zip | 48127-3839
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | GINO HANNA
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Credential | LBA
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Telephone | 313-230-4370
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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 |
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License Number State |
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