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NPI Code Detail

MEDICARE: JANAI PRATHER

MEDICARE: JANAI PRATHER
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 Technician

General Provider Information

NPI Number : 1184462657
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANAI PRATHER
Provider Business Mailing Address
First Line : 27600 NORTHWESTERN HWY STE 150
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-8400
Country : US
Telephone Number : 833-455-8622
Fax Number :
Provider Business Practice Location Address
First Line : 27600 NORTHWESTERN HWY STE 150
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-8400
Country : US
Telephone Number : 833-455-8622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2024
Last Update Date : 01/20/2026

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Directions to “ JANAI PRATHER ” Practice Location

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