Brooke Mortensen
Individual provider Active NPI Behavior Technician · West Branch, MI
NPI 1245739739 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1245739739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 710 Columbus Ave
West Branch, MI 48661-8761 - Phone
- (989) 701-2061
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Behavioral Respite Inc. | Current |
Accepting new patients | |
| ABA Pathways, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
710 Columbus Ave
West Branch, MI 48661-8761
Mailing address
PO Box 663
Lakeland, MI 48143-0663
Phone (810) 599-2129
Other providers in West Branch, MI
- Amey Lou Moeggenborg
- Ronnie Molands-Powell
- Jessica Montgomery
- Heide Morgan
- Patrick Michael Morse
- Nicolas Jano Mouawad
- Jamie J Mulkey
- Michael Robert Munger
- Emily Munsell
- Kendall David Murphy
All providers in West Branch, 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 May 17, 2022. 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.