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NPI Code Detail

MEDICARE: SYDNEY KADENCE PRANGE

MEDICARE:   SYDNEY KADENCE PRANGE
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 : 1275464620
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY KADENCE PRANGE
Provider Business Mailing Address
First Line : 2808 W SHORE DR
Second Line :
City : CENTRAL LAKE
State : MI
Zip : 49622-9455
Country : US
Telephone Number : 864-630-3456
Fax Number :
Provider Business Practice Location Address
First Line : 6610 S WISCONSIN AVE
Second Line :
City : GAYLORD
State : MI
Zip : 49735
Country : US
Telephone Number : 231-268-0007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ SYDNEY KADENCE PRANGE ” Practice Location

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