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NPI Code Detail

MEDICARE: SARAH KIELING

MEDICARE:   SARAH  KIELING
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 Analyst

General Provider Information

NPI Number : 1255981312
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KIELING
Provider Business Mailing Address
First Line : 3350 EAST PARIS AVE SE
Second Line :
City : KENTWOOD
State : MI
Zip : 49512-2907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 EAST PARIS AVE SE
Second Line :
City : KENTWOOD
State : MI
Zip : 49512-2907
Country : US
Telephone Number : 616-734-6094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2019
Last Update Date : 01/09/2025

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Directions to “ SARAH KIELING ” Practice Location

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