Sloane Marie Ely

Individual provider Active NPI Behavior Technician · Clio, MI

NPI 1083591580 · NPPES record last updated Aug 18, 2025

Key facts

NPI
1083591580
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3520 W Vienna Rd Ste B
Clio, MI 48420-2034
Phone
(810) 584-0553
NPI assigned
Aug 18, 2025
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

3520 W Vienna Rd Ste B
Clio, MI 48420-2034

Mailing address

3520 W Vienna Rd Ste B
Clio, MI 48420-2034
Phone (810) 584-0553

Other providers in Clio, MI

All providers in Clio, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.