Brenda Kay Fowler

Individual provider Active NPI Behavior Technician · Harrison, MI

NPI 1144970435 · NPPES record last updated Mar 28, 2022

Key facts

NPI
1144970435
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1544 E Stockwell Rd
Harrison, MI 48625-8680
Phone
(989) 544-1213
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
Yes

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

1544 E Stockwell Rd
Harrison, MI 48625-8680

Mailing address

1544 E Stockwell Rd
Harrison, MI 48625-8680
Phone (989) 544-1213

Other names

  • Brenda Kay Rubin Former name

Other providers in Harrison, MI

All providers in Harrison, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.