Alexis Kianna Griffin
Individual provider Active NPI Behavior Technician · Walled Lake, MI
NPI 1124975735 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1124975735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 10201 Chesapeake Cir
Walled Lake, MI 48390-5905 - Phone
- (248) 513-1724
- NPI assigned
- Mar 12, 2026
- 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 | MI | Yes |
Addresses
Primary practice location
10201 Chesapeake Cir
Walled Lake, MI 48390-5905
Mailing address
10201 Chesapeake Cir
Walled Lake, MI 48390-5905
Phone (248) 513-1724
Other providers in Walled Lake, MI
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- Marjorie Denise Goulet
- Ashley Gray
- Great Lakes Home Doctors PC
- Green Thumb Case Management
- Guided Hands Massage Therapy
- Lauren Haelterman
- Jamie L Hafke
- Taleb Radwan Hage
- Reema Hakim
All providers in Walled Lake, 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 Mar 12, 2026. 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.