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NPI Code Detail

MEDICARE: AUDRIANNA HOVEY

MEDICARE: AUDRIANNA HOVEY
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 : 1194250621
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDRIANNA HOVEY
Provider Business Mailing Address
First Line : 2400 SCIENCE PKWY
Second Line :
City : OKEMOS
State : MI
Zip : 48864-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1211 W NORTH ST
Second Line :
City : JACKSON
State : MI
Zip : 49202-3132
Country : US
Telephone Number : 517-513-3297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2017
Last Update Date : 02/26/2026

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Directions to “ AUDRIANNA HOVEY ” Practice Location

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