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NPI Code Detail

MEDICARE: SATOYA LARESA SIMPSON

MEDICARE: SATOYA LARESA SIMPSON
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1053267328
Entity Type Code : Individual
Provider Name (Legal Business Name) : SATOYA LARESA SIMPSON
Provider Business Mailing Address
First Line : 4320 KINGS LN STE 150
Second Line :
City : BURTON
State : MI
Zip : 48529-2509
Country : US
Telephone Number : 248-977-5310
Fax Number :
Provider Business Practice Location Address
First Line : 51111 WOODWARD AVE STE 150
Second Line :
City : PONTIAC
State : MI
Zip : 48342-5037
Country : US
Telephone Number : 248-977-5310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SATOYA LARESA SIMPSON ” Practice Location

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