Makenna Grace Brandon

Individual provider Active NPI Behavior Technician · Bellevue, MI

NPI 1750180287 · NPPES record last updated Mar 8, 2025

Key facts

NPI
1750180287
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
517 S Main St
Bellevue, MI 49021-1418
Phone
(269) 719-9850
NPI assigned
Mar 8, 2025
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

517 S Main St
Bellevue, MI 49021-1418

Mailing address

517 S Main St
Bellevue, MI 49021-1418
Phone (269) 719-9850

Other providers in Bellevue, MI

All providers in Bellevue, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.