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Ciara Dandridge

Behavior Technician in Southfield, MI. Individual provider (NPI-1).

NPI number1174432405
StatusActive
Last updated in NPPESSep 2, 2026

Details

NPI
1174432405
Entity type
Individual (NPI-1)
Name
Ciara Dandridge
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2026
Certification date
Sep 2, 2026
Last updated
Sep 2, 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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

20700 Civic Center Dr Ste 110
Southfield, MI 48076-4102

Phone 800-385-1035

Mailing address

20700 Civic Center Dr Ste 110
Southfield, MI 48076-4102

Phone 800-385-1035

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.

Other Behavior Technician providers in Southfield, MI

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