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NPI Code Detail

MEDICARE: CHRISTINA SUSAN JOSEPH

MEDICARE: CHRISTINA SUSAN JOSEPH
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 : 1811821705
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA SUSAN JOSEPH
Provider Business Mailing Address
First Line : 5214 TWINGING DR
Second Line :
City : OKEMOS
State : MI
Zip : 48864-2977
Country : US
Telephone Number : 517-618-1913
Fax Number :
Provider Business Practice Location Address
First Line : 7215 WESTSHIRE DR STE 200
Second Line :
City : LANSING
State : MI
Zip : 48917-9764
Country : US
Telephone Number : 517-657-2638
Fax Number : 517-657-2638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ CHRISTINA SUSAN JOSEPH ” Practice Location

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