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NPI Code Detail

MEDICARE: KARLENE RENCH

MEDICARE: KARLENE RENCH
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
1106E00000XAssistant Behavior Analyst7402000076MI

General Provider Information

NPI Number : 1629511050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLENE RENCH
Provider Business Mailing Address
First Line : 129 N JEFFERY AVE
Second Line :
City : ITHACA
State : MI
Zip : 48847-1129
Country : US
Telephone Number : 989-436-2086
Fax Number :
Provider Business Practice Location Address
First Line : 2426 PARKWAY DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-4723
Country : US
Telephone Number : 989-773-6918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2016
Last Update Date : 05/30/2025

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Directions to “ KARLENE RENCH ” Practice Location

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