Kelsey Barkman

Individual provider Active NPI Behavior Technician · Niles, MI

NPI 1124913504 · NPPES record last updated Jun 9, 2025

Key facts

NPI
1124913504
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
Jun 9, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Vav Operations Mi, LLC Past
since Jun 15, 2025
Accepting new patients

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

Other providers in Niles, MI

All providers in Niles, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.