Hamanni Lee

Individual provider Active NPI Behavior Technician · Gowen, MI

NPI 1922975655 · NPPES record last updated Oct 17, 2025

Key facts

NPI
1922975655
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12815 Hamilton Hills Dr
Gowen, MI 49326-9447
Phone
(616) 788-3169
Fax
(616) 788-3169
NPI assigned
Oct 17, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

12815 Hamilton Hills Dr
Gowen, MI 49326-9447

Mailing address

12815 Hamilton Hills Dr
Gowen, MI 49326-9447
Phone (616) 788-3169

Other providers in Gowen, MI

All providers in Gowen, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.