Brittany Brissette

Individual provider Active NPI Behavior Technician · Standish, MI

NPI 1336765668 · NPPES record last updated Jun 23, 2020

Key facts

NPI
1336765668
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3727 Deep River Rd
Standish, MI 48658-9458
Phone
(989) 718-3146
NPI assigned
Jun 23, 2020
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 Yes

Addresses

Primary practice location

3727 Deep River Rd
Standish, MI 48658-9458

Mailing address

3727 Deep River Rd
Standish, MI 48658-9458
Phone (989) 718-3176

Other providers in Standish, MI

All providers in Standish, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.