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NPI Code Detail

MEDICARE: MIYAI NICOLE BEATY BCBA

MEDICARE:   MIYAI NICOLE BEATY  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 Analyst7401002009MI

General Provider Information

NPI Number : 1982301495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIYAI NICOLE BEATY BCBA
Provider Business Mailing Address
First Line : 9936 VIRGIL
Second Line :
City : REDFORD
State : MI
Zip : 48239-1418
Country : US
Telephone Number : 248-986-3427
Fax Number :
Provider Business Practice Location Address
First Line : 1717 E CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7024
Country : US
Telephone Number : 804-215-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2023
Last Update Date : 01/09/2026

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Directions to “ MIYAI NICOLE BEATY BCBA” Practice Location

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