Sydney Elizabeth Jo Bousquet, BEHAVIOR TECHNICIAN

Individual provider Active NPI Behavior Technician · Cadillac, MI

NPI 1922711985 · NPPES record last updated Jan 4, 2023

Key facts

NPI
1922711985
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
932 N Mitchell St
Cadillac, MI 49601-1285
Phone
(231) 272-2349
NPI assigned
Jan 4, 2023
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

932 N Mitchell St
Cadillac, MI 49601-1285

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (884) 854-1116

Other providers in Cadillac, MI

All providers in Cadillac, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.