Active NPI
Kailee Amber Brandt
- Behavior Analyst
- Clio, MI
National Provider Identifier
1609609858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3520 W Vienna Rd
Clio, MI 48420-2034 - Phone
- (844) 854-6878
- NPI assigned
- Aug 22, 2024
- Last updated
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3520 W Vienna Rd
Clio, MI 48420-2034
Mailing address
10361 Wilson Rd
Montrose, MI 48457-9176
Phone (810) 869-3922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1609609858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10361 WILSON RD",
"city": "MONTROSE",
"state": "MI",
"postal_code": "484579176",
"telephone_number": "810-869-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W VIENNA RD",
"city": "CLIO",
"state": "MI",
"postal_code": "484202034",
"telephone_number": "844-854-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "KAILEE",
"middle_name": "AMBER",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clio, MI
- Veronica Lou Boone
- Borden S Family Pharmacy LLC
- Borden S Family Pharmacy LLC (Our Family Pharmacy)
- Bordens Pharmacy Inc
- Montana Boris, PA-C
- Brannon Residential Achievement Group, Inc (BRAG, Inc)
- Ann Gwendolyn Brock, OTR
- Brooke Ashley Counseling, PLLC
- Kyle V Brotherton, PHARM. D.
- Lawrence Brown, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.