Ariana Kilbourne

Individual provider Active NPI Behavior Technician · Saint Clair, MI

NPI 1376375261 · NPPES record last updated Aug 30, 2024

Key facts

NPI
1376375261
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1159 S Carney Dr
Saint Clair, MI 48079-5569
Phone
(810) 662-2626
NPI assigned
Aug 19, 2024
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

1159 S Carney Dr
Saint Clair, MI 48079-5569

Mailing address

3137 Electric Ave Apt 5
Port Huron, MI 48060-8110
Phone (810) 662-2626

Other providers in Saint Clair, MI

All providers in Saint Clair, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.