Faithann Hope Brubaker
Individual provider Active NPI Behavior Technician · Cadillac, MI
NPI 1821661877 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1821661877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 932 N Mitchell St
Cadillac, MI 49601-1285 - Phone
- (844) 244-1818
- NPI assigned
- Jul 19, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
932 N Mitchell St
Cadillac, MI 49601-1285
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
Other practice location 1
4700 Forest Ridge Dr
Cadillac, MI 49601-9596
Phone (989) 854-2829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XYQ891517404 | Other | MI | BLUE CROSS BLUE SHIELD |
Other providers in Cadillac, MI
- Jennifer Poineau Brown
- Jerica Mae Brown
- Jessica Lynn Brown
- Stephanie Dillon Brown
- Stephen Dennis Brown
- Gabrielle Ann Bruni
- Maegan Ann Buchanan
- Lisa Ann Buckley
- Rhiannon Burch
- Caberfae Emergency Group, P.C.
All providers in Cadillac, 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 Jul 19, 2021. 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.