Dachelle Bufford

Individual provider Active NPI Behavior Technician · Ann Arbor, MI

NPI 1396323705 · NPPES record last updated Aug 2, 2022

Key facts

NPI
1396323705
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2890 Carpenter Rd Ste 1100
Ann Arbor, MI 48108-1190
Phone
(734) 292-5224
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Current
since Aug 7, 2022
Accepting new patients
Enhanced Behavioral Respite Inc. Current
since Aug 7, 2022
Accepting new patients
Michigan Learning Community, LLC Past
since Apr 1, 2021
Accepting new patients

Locations

2890 Carpenter Rd
Ste 1100
Ann Arbor, MI 48108
Phone (734) 292-5224

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2890 Carpenter Rd Ste 1100
Ann Arbor, MI 48108-1190

Mailing address

PO Box 663
Lakeland, MI 48143-0663
Phone (810) 599-2129

Other providers in Ann Arbor, MI

All providers in Ann Arbor, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.