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NPI Code Detail

MEDICARE: KALEIGH CARPENTER BCBA

MEDICARE:   KALEIGH  CARPENTER  BCBA
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
1103K00000XBehavior Analyst7401003025MI

General Provider Information

NPI Number : 1912441072
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEIGH CARPENTER BCBA
Provider Business Mailing Address
First Line : 38219 MOUND RD STE 102
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-3466
Country : US
Telephone Number : 734-545-6335
Fax Number :
Provider Business Practice Location Address
First Line : 38219 MOUND RD STE 102
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-3466
Country : US
Telephone Number : 734-545-6335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2016
Last Update Date : 09/24/2025

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Directions to “ KALEIGH CARPENTER BCBA” Practice Location

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