Katlynn M Anderson

Individual provider Active NPI Behavior Technician · Sault Sainte Marie, MI

NPI 1255258679 · NPPES record last updated Jul 6, 2026

Key facts

NPI
1255258679
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2650 I 75 Business Spur # Mi49783
Sault Sainte Marie, MI 49783-3536
Phone
(800) 645-4737
NPI assigned
Jul 6, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X MI Yes

Addresses

Primary practice location

2650 I 75 Business Spur # Mi49783
Sault Sainte Marie, MI 49783-3536

Mailing address

17077 S Mackinac TRL
Rudyard, MI 49780-9396

Other providers in Sault Sainte Marie, MI

All providers in Sault Sainte Marie, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.