Kaytlynn Mary Brookshire
Behavior Technician in Flushing, MI. Individual provider (NPI-1).
NPI number1669233151
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1669233151
- Entity type
- Individual (NPI-1)
- Name
- Kaytlynn Mary Brookshire
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2024
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2521 N Elms RdFlushing, MI 48433-9423
Phone 866-498-3909
Mailing address
2521 N Elms RdFlushing, MI 48433-9423
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