Kendall Behavioral Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1041827 Issued in MI

Legal business name

KENDALL BEHAVIORAL SERVICES LLC

Doing business as

Alicia Kendall

Practice address

5900 N Lilley Rd Ste 104
Canton, MI 48187-3695

Phone

(734) 474-2958

NPI assigned

Nov 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Marie Kendall

Title

Owner

Phone

(734) 474-2958

Specialties & licenses 1

Addresses

Other names 1

• Alicia Kendall Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1780081356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27601 CHESTER ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352585",
            "telephone_number": "734-474-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N LILLEY RD STE 104",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873695",
            "telephone_number": "734-474-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-474-2958"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1041827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• William Charles Kelly, DDS
• Diane Lynn Kelty, RN
• Marlene Marie Kennerly, MD
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• Behavior Analyst in Canton, MI
• Providers in Canton, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.