Colin Atkari
Individual provider Active NPI Behavior Technician · Bridgeport, MI
NPI 1003592320 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1003592320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655 - Phone
- (989) 401-1239
- NPI assigned
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Mailing address
5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Phone (989) 401-2244
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- Trashonda Lasha Atkins
- Dana Marie Aven
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All providers in Bridgeport, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.