Kamaliah Scally, RBT

Individual provider Active NPI Behavior Technician · Three Oaks, MI

NPI 1275464869 · NPPES record last updated May 25, 2026

Key facts

NPI
1275464869
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-26-539870 (IN)
Practice address
4029 Kruger Rd
Three Oaks, MI 49128-9523
Phone
(605) 519-1698
NPI assigned
May 25, 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

State licenses

LicenseStateTypeSpecialty
RBT-26-539870INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-26-539870 IN Yes

Addresses

Primary practice location

4029 Kruger Rd
Three Oaks, MI 49128-9523

Mailing address

51336 Outer Dr
South Bend, IN 46628-9614
Phone (605) 519-1698

Other providers in Three Oaks, MI

All providers in Three Oaks, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.