IndividualActive
Amber Kidder
NPI 1700324829 · Behavior Technician · Portage, MI
Provider details
- NPI number
- 1700324829
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1617 E Milham Ave
Suite B
Portage, MI 49002-3049
Phone: (269) 303-5931
Approximate (ZIP-level) locationGet directions
Mailing address
1617 E Milham Ave
Portage, MI 49002-3049
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2017-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.