Heather Lynn Kittle

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3949 N River Rd
Freeland, MI 48623-8856

Phone

(989) 702-2082

NPI assigned

Jul 22, 2024

Sex

Female

Sole proprietor

No

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.

• Spectrum Autism Center

  • Behavior Technician
  • Freeland, MI
  • NPI 1457898124
  NPD (past)
• Spectrum Autism Center LLC

  • Behavior Analyst
  • Freeland, MI
  • NPI 1275916363
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

• Heather Lynn Kidd Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1245068428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 N RIVER RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238856",
            "telephone_number": "989-702-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 N RIVER RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238856",
            "telephone_number": "989-702-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KIDD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Carolyn Khodl
• Audrey Macie Killen
• Bridget Ann Kinney, LLMSW
• Diane Kirkbride, DPT
• Jenna Sue Kiss
• Jasmine Nicole Kraft
• Jaime Sue Kretz, RN
• Sushma Kurella
• Katherine L Kusowski, DPT
• Yvonne Marie Kwapis, O.D.

• All providers in Freeland, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.