Kanesha Mireko, is a
Behavior Technician based in Edison, New Jersey. Kanesha Mireko is licensed to practice in * (Not Available) (license number ) and her current practice location is
10 Parsonage Rd Ste 318, Edison, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 204-1635.
NPI number for Kanesha Mireko is 1568849727 and her current mailing address is 10 Parsonage Rd Ste 318, Edison, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568849727.
Healthcare Provider's Profile
| Full Name | Kanesha Mireko |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 10 Parsonage Rd Ste 318, Edison, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568849727
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 11/08/2019
Medical Identifiers
Medical identifiers for Kanesha Mireko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568849727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanesha Mireko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kanesha Mireko,
10 Parsonage Rd Ste 318,
Edison, NJ 08837-2429
Ph: (732) 204-1635 | Kanesha Mireko,
10 Parsonage Rd Ste 318,
Edison, NJ 08837-2429
Ph: (732) 204-1635 |
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