Kevin Doerzman
Individual provider Active NPI Behavior Analyst · Saginaw, MI
NPI 1770036907 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1770036907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1300 N Michigan Ave
Saginaw, MI 48602-4732 - Phone
- (989) 401-9033
- NPI assigned
- Jul 23, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Human Services Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1300 N Michigan Ave
Saginaw, MI 48602-4732
Mailing address
PO Box 741
Standish, MI 48658-0741
Phone (989) 846-9631
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. 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.