Makenzie Heaven
Individual provider Active NPI Behavior Technician · Cedar Springs, MI
NPI 1043937519 · NPPES record last updated Jul 15, 2023
Key facts
- NPI
- 1043937519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 421 Pioneer TRL
Cedar Springs, MI 49319-8136 - Phone
- (616) 649-7354
- NPI assigned
- Oct 25, 2022
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
421 Pioneer TRL
Cedar Springs, MI 49319-8136
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
Other providers in Cedar Springs, MI
- Amanda M Green
- Brady Griffith
- Samantha Grody
- Tyler Elizabeth Hammond
- Tonya L Harris
- Hannah Heintzelman
- Matthew C Hendricks
- Shannon Hoekstra
- Hooked Up Demolition & Cleaning
- Jason Patrick Housner
All providers in Cedar Springs, 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 Jul 15, 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.