Kellen Cansfield
Individual provider Active NPI Behavior Technician · China, MI
NPI 1790420008 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1790420008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3104 King Rd
China, MI 48054-1428 - Phone
- (810) 328-4500
- NPI assigned
- May 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|
| Mercy Plus Healthcare Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3104 King Rd
China, MI 48054-1428
Mailing address
850 N 6TH St
Saint Clair, MI 48079-4210
Phone (810) 841-8583
Other providers in China, MI
- Paul Brett Alexander
- Halie C Bearden
- Adrianna Bloom
- Carla Jane Bondy
- Nathan Britton
- Tammy Colera
- Megan Combest-Sommars
- Jefferey Coulter
- Erin Nicole Davis
- Janiene Denomme
All providers in China, 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 May 2, 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.