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NPI Code Detail

MEDICARE: AMBER GREGORY

MEDICARE: AMBER GREGORY
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 : 1578497343
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER GREGORY
Provider Business Mailing Address
First Line : 14680 NEWBURGH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5034
Country : US
Telephone Number : 844-969-0252
Fax Number :
Provider Business Practice Location Address
First Line : 14680 NEWBURGH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5034
Country : US
Telephone Number : 844-969-0252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ AMBER GREGORY ” Practice Location

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