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NPI Code Detail

MEDICARE: AVA NEIDLINGER

MEDICARE: AVA NEIDLINGER
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 : 1891624938
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA NEIDLINGER
Provider Business Mailing Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number : 269-876-5697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

Similar Medicare Providers

1891624946 — DARBY OLIVER
Practice Location Address:
1651 E NICKERSON AVE
BENTON HARBOR, MI
49022-2469
Practice Phone: 269-876-5697
Practice Fax:
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1215159223 — KRISTIN WIER MA. LLP. BCBA, LBA
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1447559463 — DAVID KARSTEN EISENHART M.A., BCABA
Practice Location Address:
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Practice Fax:
1740627793 — KARA POWERS
Practice Location Address:
1651 E NICKERSON AVE
BENTON HARBOR, MI
49022-2469
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1003233974 — MARIA GIESE OTR
Practice Location Address:
1651 E NICKERSON AVE
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49022-2469
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Directions to “ AVA NEIDLINGER ” Practice Location

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