Provider Demographics
NPI:1598559148
Name:LOZA, ANAH (CSS, BA)
Entity type:Individual
Prefix:
First Name:ANAH
Middle Name:
Last Name:LOZA
Suffix:
Gender:
Credentials:CSS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 E JOLLY RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-6825
Mailing Address - Country:US
Mailing Address - Phone:517-237-7162
Mailing Address - Fax:
Practice Address - Street 1:5901 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5333
Practice Address - Country:US
Practice Address - Phone:517-237-7162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician