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NPI Code Detail

MEDICARE: DAJAH FLETCHER

MEDICARE: DAJAH FLETCHER
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 : 1871446054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAJAH FLETCHER
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 301
Second Line :
City : BURBANK
State : CA
Zip : 91505-5025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34475 MOUND RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-5761
Country : US
Telephone Number : 844-263-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ DAJAH FLETCHER ” Practice Location

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