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NPI Code Detail

MEDICARE: DEONYA GARNER

MEDICARE:   DEONYA  GARNER
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 : 1538900089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEONYA GARNER
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 : 248-436-4400
Fax Number :
Provider Business Practice Location Address
First Line : 1812 W MONROE ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-2778
Country : US
Telephone Number : 248-436-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2024
Last Update Date : 03/20/2025

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Directions to “ DEONYA GARNER ” Practice Location

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