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NPI Code Detail

MEDICARE: MRS. WENDY MEILEING PARKER BCABA

MEDICARE: MRS. WENDY MEILEING PARKER BCABA
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 Analyst0-16-7165MI

General Provider Information

NPI Number : 1508217019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY MEILEING PARKER BCABA
Provider Business Mailing Address
First Line : 181 E HURON AVE
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1314
Country : US
Telephone Number : 810-214-2641
Fax Number : 810-412-6232
Provider Business Practice Location Address
First Line : 181 E HURON AVE
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1314
Country : US
Telephone Number : 810-214-2641
Fax Number : 810-412-6232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 12/11/2025

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