Taylor Rose Kelly
Individual provider Active NPI Behavior Technician · Freeland, MI
NPI 1487324968 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1487324968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3949 N River Rd
Freeland, MI 48623-8856 - Phone
- (989) 702-2082
- NPI assigned
- Sep 16, 2021
- 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 |
|---|---|---|---|
| Spectrum Autism Center | Behavior Technician | Past |
Accepting new patients |
| Spectrum Autism Center LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3949 N River Rd
Freeland, MI 48623-8856
Mailing address
3949 N River Rd
Freeland, MI 48623-8856
Phone (989) 702-2082
Other providers in Freeland, MI
- Kristin Marie Johnson
- Ashley Jordan
- Dorren Jueckstock
- Amanda Keller
- Jana Carolyn Keller
- Deeanna Emmalynn Kenny
- Courtney Marie Kernstock
- Julia Kerwin
- Emily Carolyn Khodl
- Audrey Macie Killen
All providers in Freeland, 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 16, 2021. 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.