Kelly L Christian
Individual provider Active NPI Behavior Technician · Houghton Lake, MI
NPI 1912413642 · NPPES record last updated Dec 18, 2017
Key facts
- NPI
- 1912413642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 705 Goldenrod Dr
Houghton Lake, MI 48629-8921 - Phone
- (989) 630-8531
- NPI assigned
- Dec 18, 2017
- 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
705 Goldenrod Dr
Houghton Lake, MI 48629-8921
Mailing address
1363 Douglas Dr
Traverse City, MI 49696-8980
Other providers in Houghton Lake, MI
- Dana R Brackins II
- Dawn Branson
- Christina Marie Budzynski
- Karen Cass
- Vanessa Castro
- Michael Gerald Coon
- Michael J.G. Coon
- Stacey Lynn Crane
- Elise Decker
- Kevin T. Denlinger
All providers in Houghton Lake, 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 Dec 18, 2017. 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.