Connor Dunham, BT
Behavior Technician in Cass City, MI. Individual provider (NPI-1).
NPI number1215752001
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1215752001
- Entity type
- Individual (NPI-1)
- Name
- Connor Dunham
- Credential
- BT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2024
- Certification date
- Nov 18, 2024
- Last updated
- Nov 18, 2024
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 | – | – | Yes |
Practice location
6627 Rose StCass City, MI 48726-1262
Phone 989-872-1800 · Fax 989-872-1801
Mailing address
6627 Rose StCass City, MI 48726-1262
Phone 989-872-1800 · Fax 989-872-1801
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 241 Behavior Technician providers in Cass City · All 399 providers in Cass City
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