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NPI Code Detail

MEDICARE: RAMANA ROBERSON

MEDICARE: RAMANA ROBERSON
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
2172V00000XCommunity Health WorkerMI

General Provider Information

NPI Number : 1972212652
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMANA ROBERSON
Provider Business Mailing Address
First Line : 310 FISCHER DR
Second Line :
City : WESTLAND
State : MI
Zip : 48186-3467
Country : US
Telephone Number : 734-756-8766
Fax Number :
Provider Business Practice Location Address
First Line : 2146 MOELLER AVE
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-9237
Country : US
Telephone Number : 734-273-9194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2022
Last Update Date : 08/07/2025

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