Brooke Alexandra Baughman
Behavior Technician in Allendale, MI. Individual provider (NPI-1).
NPI number1053227199
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1053227199
- Entity type
- Individual (NPI-1)
- Name
- Brooke Alexandra Baughman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2026
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 2703220 | MI | Yes |
Practice location
4815 Becker Dr Apt E101Allendale, MI 49401-8622
Phone 269-548-5057
Mailing address
4815 Becker Dr Apt E101Allendale, MI 49401-8622
Phone 269-548-5057
Other practice locations
16760 Lincoln St
Grand Haven, MI 49417-8864
Grand Haven, MI 49417-8864
Phone 616-935-3300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 53 Behavior Technician providers in Allendale · All 269 providers in Allendale
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