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NPI Code Detail

MEDICARE: MISS LANDA JABER

MEDICARE: MISS LANDA JABER
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 : 1215883640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LANDA JABER
Provider Business Mailing Address
First Line : 8904 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-1821
Country : US
Telephone Number : 313-552-6670
Fax Number :
Provider Business Practice Location Address
First Line : 8904 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-1821
Country : US
Telephone Number : 313-552-6670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MISS LANDA JABER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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