Kaitlyn Rose Blackmer
Individual provider Active NPI Behavior Technician · Essexville, MI
NPI 1508633017 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1508633017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 955 N Pine Rd
Essexville, MI 48732-2109 - Phone
- (989) 702-2082
- NPI assigned
- Dec 5, 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 | Yes |
Addresses
Primary practice location
955 N Pine Rd
Essexville, MI 48732-2109
Mailing address
955 N Pine Rd
Essexville, MI 48732-2109
Phone (989) 702-2082
Other providers in Essexville, MI
- Nicholas Atha Bean
- Vaughn Jerry Begick
- Nicholas Lee Berkobien
- Lauren Christina Beyerlein
- Bio-Medical Applications of Michigan, Inc.
- Monica Borsenik
- Jay W Bosco
- Ryen Bostick
- Terra Jo Bowker
- Chelsea Boykov
All providers in Essexville, 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 Dec 5, 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.