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NPI Code Detail

MEDICARE: MICHAELA BRINKER

MEDICARE:   MICHAELA  BRINKER
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 : 1598362451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA BRINKER
Provider Business Mailing Address
First Line : 1055 E COLORADO BLVD STE 560
Second Line :
City : PASADENA
State : CA
Zip : 91106-2380
Country : US
Telephone Number : 818-241-6780
Fax Number : 818-241-6853
Provider Business Practice Location Address
First Line : 120 N WASHINGTON SQ STE 300
Second Line :
City : LANSING
State : MI
Zip : 48933-1658
Country : US
Telephone Number : 888-805-0759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2020
Last Update Date : 10/05/2020

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Directions to “ MICHAELA BRINKER ” Practice Location

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