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General NPI Number Information
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NPI Number | 1538698824
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Entity Type | Individual
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Provider Name | JUSTIN REININGER
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Gender | Male
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 32100 TELEGRAPH RD STE 185
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-2453
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Country | US
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Telephone | 248-712-4266
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Fax |
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Provider Business Mailing Address
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Address Line | 44670 ANN ARBOR RD W STE 130
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City | PLYMOUTH
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State | MI
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Zip | 48170-4085
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Country | US
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Telephone | 313-278-4601
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Fax |
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-24-15597
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License Number State | MI
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