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NPI Code Detail

MEDICARE: KENYA SHAWNTAY BIVINGS

MEDICARE: KENYA SHAWNTAY BIVINGS
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 : 1528924115
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENYA SHAWNTAY BIVINGS
Provider Business Mailing Address
First Line : 5111 AUTO CLUB DR
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2749
Country : US
Telephone Number : 313-406-5056
Fax Number :
Provider Business Practice Location Address
First Line : 5111 AUTO CLUB DR
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2749
Country : US
Telephone Number : 313-406-5056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

Similar Medicare Providers

1174489769 — GEORGE SAAD
Practice Location Address:
5111 AUTO CLUB DR
DEARBORN, MI
48126-2749
Practice Phone: 313-406-5056
Practice Fax:
1619833209 — CYDNI WILLIAMS
Practice Location Address:
5111 AUTO CLUB DR
DEARBORN, MI
48126-2749
Practice Phone: 313-406-5056
Practice Fax:
1437015021 — TEBAREK ALKANANI
Practice Location Address:
5111 AUTO CLUB DR
DEARBORN, MI
48126-2749
Practice Phone: 313-406-5056
Practice Fax:
1760346662 — MARIA ELIZABETH HOLDER
Practice Location Address:
5111 AUTO CLUB DR
DEARBORN, MI
48126-2749
Practice Phone: 313-406-5056
Practice Fax:
1164974358 — XAVIER ROBERTSON
Practice Location Address:
5111 AUTO CLUB DR STE 200
DEARBORN, MI
48126-2749
Practice Phone: 313-406-5056
Practice Fax:
1922026939 — MS. SHEILA LOUISE GIBSON MA, LLP
Practice Location Address:
5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751

Directions to “ KENYA SHAWNTAY BIVINGS ” 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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