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NPI Code Detail

MEDICARE: MICHAELA JOCK

MEDICARE: MICHAELA JOCK
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 : 1669315420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA JOCK
Provider Business Mailing Address
First Line : 6627 ROSE ST
Second Line :
City : CASS CITY
State : MI
Zip : 48726-1262
Country : US
Telephone Number : 989-872-1800
Fax Number : 989-872-1801
Provider Business Practice Location Address
First Line : 6627 ROSE ST
Second Line :
City : CASS CITY
State : MI
Zip : 48726-1262
Country : US
Telephone Number : 989-872-1800
Fax Number : 989-872-1801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MICHAELA JOCK ” Practice Location

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