Jennifer Beaudoin

Individual provider Active NPI Behavior Technician · Farmington Hills, MI

NPI 1912534728 · NPPES record last updated Mar 24, 2020

Key facts

NPI
1912534728
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone
(248) 299-0030
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326

Other providers in Farmington Hills, MI

All providers in Farmington Hills, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.