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NPI Code Detail

MEDICARE: DANIELLE NICOLE COLLINS

MEDICARE: DANIELLE NICOLE COLLINS
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 : 1851110571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NICOLE COLLINS
Provider Business Mailing Address
First Line : 27600 NORTHWESTERN HWY STE 150
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-8400
Country : US
Telephone Number : 833-455-8622
Fax Number :
Provider Business Practice Location Address
First Line : 27600 NORTHWESTERN HWY STE 150
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-8400
Country : US
Telephone Number : 833-455-8622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 02/03/2026

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Directions to “ DANIELLE NICOLE COLLINS ” Practice Location

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