Angela Kamphouse, M.ED
Individual provider Active NPI Behavior Technician · MC Bain, MI
NPI 1548706641 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1548706641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 10079 S Lucas Rd
MC Bain, MI 49657-9535 - Phone
- (231) 510-7288
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
10079 S Lucas Rd
MC Bain, MI 49657-9535
Mailing address
10079 S Lucas Rd
MC Bain, MI 49657-9535
Phone (231) 510-7288
Other providers in MC Bain, MI
- Carrie Joy Dick
- Clayton Gilde
- Jeffrey Thomas Gischia
- Heather Goff
- James R. Wilson MD PC
- Susan Lanser
- McBain Family Chiropractic Center P.C.
- McBain Family Pharmacy PLLC
- McBain Family Pharmacy PLLC
- McBain Nursing Center, LLC
All providers in MC Bain, 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 Jan 12, 2017. 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.