Alexis Brianne Evers

Individual provider Active NPI Behavior Technician · Rosebush, MI

NPI 1831797117 · NPPES record last updated Oct 12, 2020

Key facts

NPI
1831797117
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
1-07-3468 (MI)
Practice address
3771 N Mission Rd
Rosebush, MI 48878-8749
Phone
(989) 433-2962
NPI assigned
Oct 9, 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
McLaren Central Michigan Past
since Oct 11, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1-07-3468 MI Yes

Addresses

Primary practice location

3771 N Mission Rd
Rosebush, MI 48878-8749

Mailing address

3057 Lansing St
Harrison, MI 48625-9250
Phone (989) 630-3709

Other providers in Rosebush, MI

All providers in Rosebush, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.