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NPI Code Detail

MEDICARE: LEO EPPINGA

MEDICARE: LEO EPPINGA
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1902735764
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEO EPPINGA
Provider Business Mailing Address
First Line : 910 SEWARD ST RM 408
Second Line :
City : DETROIT
State : MI
Zip : 48202-2355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 RENAISSANCE CTR STE 2600
Second Line :
City : DETROIT
State : MI
Zip : 48243-1599
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ LEO EPPINGA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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