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NPI Code Detail

MEDICARE: AUTUMN VIEW

MEDICARE: AUTUMN VIEW
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 TechnicianMI

General Provider Information

NPI Number : 1316876022
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN VIEW
Provider Business Mailing Address
First Line : 405 S MISSION ST STE B
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-2870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 405 S MISSION ST STE B
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-2870
Country : US
Telephone Number : 989-545-9242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ AUTUMN VIEW ” Practice Location

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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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