IndividualActive
Keandre Penick
NPI 1356233985 · Behavior Technician · Taylor, MI
Keandre Penick is a Behavior Technician provider in Taylor, MI (NPI 1356233985).
Provider details
- NPI number
- 1356233985
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20332 Eureka Rd
Taylor, MI 48180-5310
Phone: (833) 455-8622
Street-level locationGet directions
Mailing address
2733 E 12th St Ph a
Brooklyn, NY 11235-4672
Registry dates
- Enumerated
- 2025-07-17
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Frequently asked questions
- What is Keandre Penick's NPI number?
- Keandre Penick's National Provider Identifier (NPI) is 1356233985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keandre Penick's specialty?
- Keandre Penick is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keandre Penick located?
- Keandre Penick's practice location on file with NPPES is 20332 Eureka Rd, Taylor, MI 48180-5310.
- What is Keandre Penick's phone number?
- The practice phone number listed in the NPPES registry for Keandre Penick is (833) 455-8622.
- Is Keandre Penick's NPI active?
- Yes — Keandre Penick's NPI (1356233985) is active in the NPPES registry as of the last update on 2025-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.