Abigail Dennis
Individual provider Active NPI Behavior Technician · Bear Lake, MI
NPI 1316670672 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1316670672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11660 Chippewa Hwy
Bear Lake, MI 49614-9419 - Phone
- (231) 655-3146
- NPI assigned
- Jul 5, 2022
- 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 |
|---|---|---|---|
| Hope Network Behavioral Health Services | Current |
Accepting new patients | |
| Hope Network Behavioral Health Services | Past |
Accepting new patients |
Locations
2875 Eyde Pkwy
Ste 100
East Lansing, MI 48823
Phone (517) 512-4320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11660 Chippewa Hwy
Bear Lake, MI 49614-9419
Mailing address
2875 Eyde Pkwy Ste 100
East Lansing, MI 48823-5431
Other providers in Bear Lake, MI
- Better Days ABA PLLC
- Crystal Lake Clinic, P.C.
- Joy Davies
- Aaron Fast
- Chandler Felty
- Kelly Fischer
- Sydney Gore
- Glenn Charles Griffiths
All providers in Bear Lake, 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 Aug 15, 2023. 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.