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NPI Code Detail

MEDICARE: ASHLEY DENISE DIKE

MEDICARE: ASHLEY DENISE DIKE
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 : 1114877784
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DENISE DIKE
Provider Business Mailing Address
First Line : 15901 BAYLIS ST
Second Line :
City : DETROIT
State : MI
Zip : 48238-1539
Country : US
Telephone Number : 313-955-5859
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 : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ ASHLEY DENISE DIKE ” Practice Location

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