IndividualActive
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NPI 1669901633 · Behavior Technician · Traverse City, MI
Provider details
- NPI number
- 1669901633
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
1363 Douglas Dr Ste 104
Traverse City, MI 49696-8980
Phone: (231) 668-4909
Street-level locationGet directions
Mailing address
2800 Arborview Dr Apt 14
Traverse City, MI 49685-7325
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2017-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.