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NPI Code Detail

MEDICARE: VANESSA FLINN BCBA

MEDICARE: VANESSA FLINN 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 Analyst1-24-75016

General Provider Information

NPI Number : 1952871824
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA FLINN BCBA
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number : 855-772-8847
Fax Number :
Provider Business Practice Location Address
First Line : 2227 GODBY RD
Second Line :
City : ATLANTA
State : GA
Zip : 30349-5020
Country : US
Telephone Number : 855-772-8847
Fax Number : 248-621-3830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2018
Last Update Date : 05/01/2025

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Directions to “ VANESSA FLINN BCBA” Practice Location

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