NPI 1174198626 · live from the CMS NPI Registry
Clovis Louise Bracey
Behavior Technician in Farmington Hills, MI. National Provider Identifier 1174198626, active.
NPI record
| NPI | 1174198626 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 |
| Practice phone | 248-436-4400 |
| Enumerated | May 26, 2021 |
| Last updated | January 25, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.