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NPI Code Detail

MEDICARE: SARA AGUSTO CARDOZA

MEDICARE: SARA AGUSTO CARDOZA
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 : 1518845973
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA AGUSTO CARDOZA
Provider Business Mailing Address
First Line : 815 MYRTLE AVE
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 NILES AVE
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-1922
Country : US
Telephone Number : 262-337-2292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “ SARA AGUSTO CARDOZA ” 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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