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Jenna Grace Bourdo, RBT

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

NPI number1699644476
StatusActive
Last updated in NPPESNov 3, 2025

Details

NPI
1699644476
Entity type
Individual (NPI-1)
Name
Jenna Grace Bourdo
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2025
Certification date
Nov 3, 2025
Last updated
Nov 3, 2025

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

115 W Allegan St
Otsego, MI 49078-1115

Phone 844-244-1818

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Phone 844-244-1818

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 Otsego, MI

All 83 Behavior Technician providers in Otsego · All 159 providers in Otsego

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