Vanessa Jean Anderson

Individual provider Active NPI Behavior Technician · Adrian, MI

NPI 1649127804 · NPPES record last updated Mar 16, 2026

Key facts

NPI
1649127804
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
VG636777 (OH)
Practice address
618 Dennis St Apt 1
Adrian, MI 49221-3373
Phone
(517) 312-1711
NPI assigned
Mar 16, 2026
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

State licenses

LicenseStateTypeSpecialty
VG636777OHMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X VG636777 OH Yes

Addresses

Primary practice location

618 Dennis St Apt 1
Adrian, MI 49221-3373

Mailing address

618 Dennis St Apt 1
Adrian, MI 49221-3373

Other providers in Adrian, MI

All providers in Adrian, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.