Taneisha Antoinette Thomas
Taneisha Antoinette Thomas is an Undefined Non-Physician Type (Specify) in Macomb, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor.
- Years since qualifying
- 1
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
46426 Le Grande BlvdMacomb, MI 48044-4451
Phone: (586) 277-0523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1831877620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | May 28, 2025 |
| Certification date | May 28, 2025 |
| Mailing address | 46426 Le Grande Blvd, Macomb, MI 48044-4451 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Macomb
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Elyse Lazrado
16700 21 Mile Rd, Macomb, MI 48044-2600 · (586) 207-9255
-
Alyssa Moralez
16700 21 Mile Rd, Macomb, MI 48044-4887 · (586) 207-9255
-
Olfat Putris
45670 Warwick Dr, Macomb, MI 48044-4064 · (586) 839-8992
-
Alaina Rochelle Sparks
16700 21 Mile Rd, Macomb, MI 48044-4887 · (586) 207-9255
-
Samantha Wiles, BCBA
16700 21 Mile Rd, Macomb, MI 48044-4887 · (586) 284-3900
-
Gwendolyn Wilhelm
16700 21 Mile Rd, Macomb, MI 48044-2600 · (586) 207-9255
-
Gabriella A Zmich
16700 21 Mile Rd, Macomb, MI 48044-2600 · (586) 207-9255