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NPI Code Detail

MEDICARE: ALAINA FUQUA

MEDICARE: ALAINA FUQUA
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 : 1558297028
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAINA FUQUA
Provider Business Mailing Address
First Line : 100 N STAEBLER RD STE B
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 N STAEBLER RD STE B
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9862
Country : US
Telephone Number : 734-252-6522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ ALAINA FUQUA ” Practice Location

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