Caitlin Davenport
Behavior Technician in Kentwood, MI. Individual provider (NPI-1).
NPI number1124529367
StatusActive
Last updated in NPPESFeb 21, 2019
Details
- NPI
- 1124529367
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Davenport
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2018
- Last updated
- Feb 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3361 36th St SeKentwood, MI 49512
Phone 616-301-8000
Mailing address
3361 36th St SeKentwood, MI 49512-2809
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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 277 Behavior Technician providers in Kentwood · All 908 providers in Kentwood
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