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NPI Code Detail

MEDICARE: VANESSA ISABELLA ABREU

MEDICARE:   VANESSA ISABELLA ABREU
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 : 1629914338
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ISABELLA ABREU
Provider Business Mailing Address
First Line : 4370 CHICAGO DR SW STE 735
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-1694
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4370 CHICAGO DR SW STE 735
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-1694
Country : US
Telephone Number : 616-341-7470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2026
Last Update Date : 04/25/2026

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Directions to “ VANESSA ISABELLA ABREU ” Practice Location

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