Jeanessa Gant
Individual provider Active NPI Behavior Technician · Farmington Hills, MI
NPI 1447080171 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1447080171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-358046 (IN)
- Practice address
- 27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312 - Phone
- (855) 772-8847
- NPI assigned
- Aug 6, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-358046 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-358046 | IN | Yes |
Addresses
Primary practice location
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone (855) 772-8847
Other providers in Farmington Hills, MI
- Kylie Gannon
- Alyssa Gansert
- Patricia Ganski
- Carrington Elizabeth Gant
- Desiree Gant
- Charlie Murphy Gantt
- Marcus Gantz
- Andrea Gaona
- Sierra Gaona
- Robert Gape
All providers in Farmington Hills, 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 Sep 27, 2024. 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.