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NPI Code Detail

MEDICARE: HEATHER MARIE HILDEN BCBA, LBA

MEDICARE: HEATHER MARIE HILDEN BCBA, LBA
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 Analyst

General Provider Information

NPI Number : 1114396413
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MARIE HILDEN BCBA, LBA
Provider Business Mailing Address
First Line : 9248 FEATHER HOLLOW DR
Second Line :
City : NEWPORT
State : MI
Zip : 48166-9580
Country : US
Telephone Number : 313-413-2112
Fax Number :
Provider Business Practice Location Address
First Line : 23663 PARK ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2547
Country : US
Telephone Number : 313-689-5188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2015
Last Update Date : 04/09/2026

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