Brynn Jaklyn Bennett
Individual provider Active NPI Behavior Technician · Petoskey, MI
NPI 1699621995 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1699621995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 900000363917 (MI)
- Practice address
- 910 Spring St Ste 4
Petoskey, MI 49770-2881 - Phone
- (231) 268-0007
- NPI assigned
- Mar 9, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 900000363917 | MI | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 900000363917 | MI | Yes |
Addresses
Primary practice location
910 Spring St Ste 4
Petoskey, MI 49770-2881
Mailing address
509 Wachtel Ave
Petoskey, MI 49770-2338
Other providers in Petoskey, MI
- Robert Stephen Beigle
- Carolyn Jean Belknap
- Amy Elizabeth Bell
- Daniel T Bell
- David Alton Bell
- Zelma Josie Bennett
- Beno Clinic Chiropractic Center, P.C.
- Ryan Ber
- Kathy Ann Berchem
- Shannon Marie Bice
All providers in Petoskey, 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 Mar 9, 2026. 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.