MEDICARE: BETTY LOU CASANOVA LPN

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1548335052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY LOU CASANOVA LPN

Provider Business Mailing Address
First Line	:	1159 S CARNEY DR
Second Line	:
City	:	SAINT CLAIR
State	:	MI
Zip	:	48079-5569
Country	:	US
Telephone Number	:	810-328-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	1159 S CARNEY DR
Second Line	:
City	:	SAINT CLAIR
State	:	MI
Zip	:	48079-5569
Country	:	US
Telephone Number	:	810-328-3203
Fax Number	:	810-392-3481

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	12/12/2023

Similar Medicare Providers

1487157814 — SAGA AHMAD ABDALLAH
Practice Location Address:

1159 S CARNEY DR
SAINT CLAIR, MI
48079-5569

Practice Phone: 810-432-0450
Practice Fax:

1710902374 — BORMANS INC
Practice Location Address:

1167 S CARNEY DR
SAINT CLAIR, MI
48079-5569

Practice Phone: 810-326-4249
Practice Fax: 810-326-0351

1790336907 — MRS. LAURA ANNE KARADIMAS FNP-C
Practice Location Address:

1163 S CARNEY DR
SAINT CLAIR, MI
48079-5569

Practice Phone: 810-561-8450
Practice Fax: 810-329-0156

1346836533 — SARINA BONDY
Practice Location Address:

1159 S CARNEY DR
SAINT CLAIR, MI
48079-5569

Practice Phone: 810-328-3203
Practice Fax:

1609459171 — MIKAELA MICHELE SERGENT MS, BCBA, LBA
Practice Location Address:

1159 S CARNEY DR
SAINT CLAIR, MI
48079-5569

Practice Phone: 810-937-7048
Practice Fax:

1871203265 — MILISSA TROMBLEY
Practice Location Address:

1159 S CARNEY DR
SAINT CLAIR, MI
48079-5569

Practice Phone: 866-498-3909
Practice Fax:

Directions to “ BETTY LOU CASANOVA LPN” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.