What is Kennedi Theobald's NPI number?

Kennedi Theobald's National Provider Identifier (NPI) is 1508721390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kennedi Theobald's specialty?

Kennedi Theobald is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kennedi Theobald located?

Kennedi Theobald's practice location on file with NPPES is 30330 Hickey Rd, Chesterfield, MI 48051-3911.

What is Kennedi Theobald's phone number?

The practice phone number listed in the NPPES registry for Kennedi Theobald is (586) 421-4062.

Is Kennedi Theobald's NPI active?

Yes — Kennedi Theobald's NPI (1508721390) is active in the NPPES registry as of the last update on 2025-12-23.

IndividualActive

Kennedi Theobald

NPI 1508721390 · Behavior Technician · Chesterfield, MI

Kennedi Theobald is a Behavior Technician provider in Chesterfield, MI (NPI 1508721390).

Provider details

NPI number: 1508721390
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 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

30330 Hickey Rd

Chesterfield, MI 48051-3911

Phone: (586) 421-4062

Street-level locationGet directions

More MI providers

Mailing address