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NPI Code Detail

MEDICARE: MYESHA REESE

MEDICARE: MYESHA REESE
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 : 1346166477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYESHA REESE
Provider Business Mailing Address
First Line : 314 INKSTER RD
Second Line :
City : INKSTER
State : MI
Zip : 48141-1209
Country : US
Telephone Number : 313-314-9935
Fax Number :
Provider Business Practice Location Address
First Line : 314 INKSTER RD
Second Line :
City : INKSTER
State : MI
Zip : 48141-1209
Country : US
Telephone Number : 313-314-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ MYESHA REESE ” Practice Location

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