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NPI Code Detail

MEDICARE: GRIZEL BARRAGAN

MEDICARE: GRIZEL BARRAGAN
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
1103K00000XBehavior Analyst7401002763MI

General Provider Information

NPI Number : 1780259671
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRIZEL BARRAGAN
Provider Business Mailing Address
First Line : 895 N OPDYKE RD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2694
Country : US
Telephone Number : 248-622-5191
Fax Number :
Provider Business Practice Location Address
First Line : 895 N OPDYKE RD STE D
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2694
Country : US
Telephone Number : 248-622-5191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 04/18/2025

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