Jessica Gardner
Individual provider Active NPI Behavior Technician · Cass City, MI
NPI 1487428504 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1487428504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6627 Rose St
Cass City, MI 48726-1262 - Phone
- (989) 872-3834
- Fax
- (989) 839-4451
- NPI assigned
- Nov 9, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Yes |
Addresses
Primary practice location
6627 Rose St
Cass City, MI 48726-1262
Mailing address
6627 Rose St
Cass City, MI 48726-1262
Phone (989) 872-3834
Other providers in Cass City, MI
- Monica S Ferguson
- Haileigh Foote
- Kristie Ann Fox-Warren
- Taylor M Fox
- Kali Friday
- Courtney Garrick
- Kaitlin Elizabeth Geiger
- Ashley Gemmell
- Samantha Gibbons
- Kayla Ginther
All providers in Cass City, 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 Nov 9, 2023. 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.