MEDICARE: MERLYNE BENSON

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
1	106S00000X	Behavior Technician		MI

General Provider Information

NPI Number	:	1912857921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERLYNE BENSON

Provider Business Mailing Address
First Line	:	2748 GOLFSIDE DR APT 601
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-1467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4870 W CLARK RD STE 1
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1104
Country	:	US
Telephone Number	:	734-361-2504
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ MERLYNE BENSON ” Practice Location

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