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Anna Maureen Bommarito

Behavior Technician in Saint Clair Shores, MI. Individual provider (NPI-1).

NPI number1245072214
StatusActive
Last updated in NPPESJun 11, 2024

Details

NPI
1245072214
Entity type
Individual (NPI-1)
Name
Anna Maureen Bommarito
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2024
Certification date
Jun 11, 2024
Last updated
Jun 11, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

26210 Harper Ave
Saint Clair Shores, MI 48081-2203

Phone 888-485-8636

Mailing address

26210 Harper Ave
Saint Clair Shores, MI 48081-2203

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Saint Clair Shores, MI

All 117 Behavior Technician providers in Saint Clair Shores · All 1,725 providers in Saint Clair Shores

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