Jenna Grace Bourdo, RBT
Individual provider Active NPI Behavior Technician · Otsego, MI
NPI 1699644476 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1699644476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 115 W Allegan St
Otsego, MI 49078-1115 - Phone
- (844) 244-1818
- NPI assigned
- Oct 31, 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
115 W Allegan St
Otsego, MI 49078-1115
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818
Other providers in Otsego, MI
- Paul Bryan Bobb
- Kennedi Elizabeth Bodenberg
- Elaina Mae Bomba
- Ayla Borden
- Lexie Dawn Bosch
- Ryleigh Grace Boven
- Alexis Marie Branch
- Kendra Brooks
- Micala Carman
- Madison Cecilia Carr
All providers in Otsego, 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 Nov 3, 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.