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NPI Code Detail

MEDICARE: KRISTEN BOROWITZ MASTERS OF ARTS

MEDICARE: KRISTEN BOROWITZ MASTERS OF ARTS
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 Analyst1-21-47275MI
2106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1043756935
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN BOROWITZ MASTERS OF ARTS
Provider Business Mailing Address
First Line : 9905 GERA RD
Second Line :
City : BIRCH RUN
State : MI
Zip : 48415-9709
Country : US
Telephone Number : 989-529-4419
Fax Number :
Provider Business Practice Location Address
First Line : 6200 STATE ST
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3490
Country : US
Telephone Number : 989-401-1239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2017
Last Update Date : 03/20/2023

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Directions to “ KRISTEN BOROWITZ MASTERS OF ARTS” Practice Location

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