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NPI Code Detail

MEDICARE: ANIYA FAIRLEY

MEDICARE: ANIYA FAIRLEY
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 : 1528870433
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANIYA FAIRLEY
Provider Business Mailing Address
First Line : 1349 S HURON ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48197-7020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1349 S HURON ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48197-7020
Country : US
Telephone Number : 734-929-2620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2025
Last Update Date : 01/27/2025

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Directions to “ ANIYA FAIRLEY ” Practice Location

Language Start Address Practice Location
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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