Kenneth Ray Trent-Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

16700 17 Mile Rd
Clinton Township, MI 48038-7325

Phone

(586) 228-2300

Fax

(586) 228-2300

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Pediatricians Autism Center

  • Behavior Analyst
  • Clinton Township, MI
  • NPI 1972862902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1043991540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52632 SEVEN OAKS DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483162985",
            "telephone_number": "586-819-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 17 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387325",
            "telephone_number": "586-228-2300",
            "fax_number": "586-228-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT-JOHNSON",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Michael Trakhtenberg, MD
• Tony Tran, DDS
• Melody Maureen Tranchida, SCHOOL PSYCHOLOGIST
• Timothy Lee Traugott, ACNP
• Lucas Treece, PT, DPT
• Holly Renee Trevor, CPRC
• Tri-County Gastroenterology, PC
• Larhonda Nicole Tribble, OWNER
• Tricounty Neurological Associates, P.C.
• Trillium Anesthesia Services, PLLC

• Behavior Technician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.