Kira Metcalf

Individual provider Active NPI Behavior Technician · Cedar, MI

NPI 1194340992 · NPPES record last updated Jun 8, 2020

Key facts

NPI
1194340992
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6721 S French Rd
Cedar, MI 49621-9601
Phone
(231) 432-0409
NPI assigned
Jun 8, 2020
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

6721 S French Rd
Cedar, MI 49621-9601

Mailing address

6721 S French Rd
Cedar, MI 49621-9601

Other providers in Cedar, MI

All providers in Cedar, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.