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NPI Code Detail

MEDICARE: MR. CHRISTOPHER ADAM KING BCBA

MEDICARE: MR. CHRISTOPHER ADAM KING BCBA
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 Analyst1119231FL

General Provider Information

NPI Number : 1154636694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER ADAM KING BCBA
Provider Business Mailing Address
First Line : 2400 SCIENCE PKWY
Second Line :
City : OKEMOS
State : MI
Zip : 48864-2560
Country : US
Telephone Number : 517-374-8066
Fax Number :
Provider Business Practice Location Address
First Line : 2770 CARPENTER RD STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-4104
Country : US
Telephone Number : 734-585-5053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2010
Last Update Date : 08/03/2021

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