Danisha Blythe

Individual provider Active NPI Behavior Technician · Niles, MI

NPI 1013844463 · NPPES record last updated May 7, 2026

Key facts

NPI
1013844463
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2753 S 11TH St
Niles, MI 49120-4419
Phone
(574) 387-4313
NPI assigned
May 7, 2026
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2753 S 11TH St
Niles, MI 49120-4419

Mailing address

2753 S 11TH St
Niles, MI 49120-4419
Phone (574) 387-4313

Other providers in Niles, MI

All providers in Niles, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.