MEDICARE: MICHELLE P BURGER-RAINS BCBA

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1518284371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE P BURGER-RAINS BCBA

Provider Business Mailing Address
First Line	:	27777 INKSTER RD STE 100
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-5312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 ARROWHEAD BLVD
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-1167
Country	:	US
Telephone Number	:	888-975-4557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	02/07/2025

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