Kendra Brooks
Individual provider Active NPI Behavior Technician · Otsego, MI
NPI 1972190676 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1972190676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 837 Wildwood CT
Otsego, MI 49078-1578 - Phone
- (734) 787-2373
- NPI assigned
- Dec 29, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
837 Wildwood CT
Otsego, MI 49078-1578
Mailing address
837 Wildwood CT
Otsego, MI 49078-1578
Phone (734) 787-2373
Other providers in Otsego, MI
- Ayla Borden
- Lexie Dawn Bosch
- Jenna Grace Bourdo
- Ryleigh Grace Boven
- Alexis Marie Branch
- Micala Carman
- Madison Cecilia Carr
- Janet Cencer
- Sarah Chachulski
- Kiersten-Mary Sherman Chalker
All providers in Otsego, 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 29, 2020. 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.