Kenzie Marie Maust
Individual provider Active NPI Assistant Behavior Analyst · Pigeon, MI
NPI 1679385207 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1679385207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 6344 W Richardson Rd
Pigeon, MI 48755-9506 - Phone
- (989) 550-9306
- NPI assigned
- Jan 21, 2025
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
6344 W Richardson Rd
Pigeon, MI 48755-9506
Mailing address
6344 W Richardson Rd
Pigeon, MI 48755-9506
Phone (989) 550-9306
Other providers in Pigeon, MI
- Angela Lackie
- List Psychological Services, PLC
- Timothy Walter Lowthian
- Stphen Mancuso
- Trevor Samuel Mattarella
- Lauren McCormick
- Amanda M McSweeney
- Medical Enterprises Inc
- Medical Enterprises, Inc.
- Medical Enterprises, Inc.
All providers in Pigeon, MI · Assistant Behavior Analyst 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 21, 2025. 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.