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NPI Code Detail

MEDICARE: GABRIELLE ALEXIS GREENE

MEDICARE: GABRIELLE ALEXIS GREENE
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 TechnicianMI

General Provider Information

NPI Number : 1740119510
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE ALEXIS GREENE
Provider Business Mailing Address
First Line : 5039 VILLA LINDE PKWY STE 30
Second Line :
City : FLINT
State : MI
Zip : 48532-3450
Country : US
Telephone Number : 989-401-2244
Fax Number :
Provider Business Practice Location Address
First Line : 6200 STATE ST
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3490
Country : US
Telephone Number : 989-401-2244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ GABRIELLE ALEXIS GREENE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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