Cindy Agnew

Individual provider Active NPI Behavior Technician · Okemos, MI

NPI 1801407200 · NPPES record last updated Aug 11, 2020

Key facts

NPI
1801407200
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2400 Science Pkwy
Okemos, MI 48864-2560
Phone
(517) 374-8066
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Options, Inc. Past
since Aug 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2400 Science Pkwy
Okemos, MI 48864-2560

Mailing address

2400 Science Pkwy
Okemos, MI 48864-2560
Phone (517) 374-8066

Other providers in Okemos, MI

All providers in Okemos, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.