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NPI Code Detail

MEDICARE: ERIN O'BRIEN

MEDICARE: ERIN O'BRIEN
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1225562507
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN O'BRIEN
Provider Business Mailing Address
First Line : 346 68TH ST SW
Second Line :
City : KENTWOOD
State : MI
Zip : 49548-7179
Country : US
Telephone Number : 616-202-5161
Fax Number :
Provider Business Practice Location Address
First Line : 346 68TH ST SW
Second Line :
City : KENTWOOD
State : MI
Zip : 49548-7179
Country : US
Telephone Number : 616-202-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2017
Last Update Date : 01/05/2026

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Directions to “ ERIN O'BRIEN ” Practice Location

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