Gatlin Powell

Individual provider Active NPI Behavior Technician · Chesaning, MI

NPI 1033967005 · NPPES record last updated May 7, 2024

Key facts

NPI
1033967005
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
202 Pine St
Chesaning, MI 48616-1252
Phone
(989) 323-2090
NPI assigned
May 7, 2024
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

202 Pine St
Chesaning, MI 48616-1252

Mailing address

202 Pine St
Chesaning, MI 48616-1252
Phone (989) 323-2090

Other providers in Chesaning, MI

All providers in Chesaning, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.