Brennan Kylee Ekdom
Individual provider Active NPI Behavior Analyst · Rosebush, MI
NPI 1992434914 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1992434914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401003200 (MI)
- Practice address
- 3928 Elizabeth St
Rosebush, MI 48878-5002 - Phone
- (989) 263-2857
- NPI assigned
- Jun 6, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401003200 | MI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401003200 | MI | Yes |
Addresses
Primary practice location
3928 Elizabeth St
Rosebush, MI 48878-5002
Mailing address
4860 Fieldstone LN Apt 20
Mt Pleasant, MI 48858-8998
Phone (989) 942-4267
Other providers in Rosebush, MI
- Ava Banyas
- Rayne Black
- Anthony Bucio
- Michael Caleca
- Valary R Dodge
- Alexis Brianne Evers
- Hannah Felcyn
- Cheyenne Gardner
- Blake Hillier
- Alysia Ann Hoyt
All providers in Rosebush, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. 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.