Kameron L Kuzich

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6267 Webster Church Rd
Dexter, MI 48130-9659

Phone

(734) 252-6522

NPI assigned

Nov 14, 2017

Reactivated

Nov 21, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255844007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROESSLER ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622837",
            "telephone_number": "734-497-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6267 WEBSTER CHURCH RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309659",
            "telephone_number": "734-252-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 N Roessler St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481622837",
            "country_code": "US",
            "telephone_number": "734-497-7083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZICH",
        "first_name": "KAMERON",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-03-17",
        "deactivation_date": "2017-11-14",
        "reactivation_date": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Koran III, D.D.S., M.S.
• Michelle Leigh Kornow
• Jesse H Krikorian, MD
• Ardiana Kuhr
• Kyle Joseph Kusnier
• Renee Lynn Laliberte, O.D.
• Zoe Lapham, MS
• Haley Lawrence-Pummill, DDS
• Josephine Bonasso Lazarou, PHAMD
• Lee Medical

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.