Kimberly Renee Thelen
Behavior Technician
640 Seminole Rd
Norton Shores
, Michigan 49441-4720
Kimberly Renee Thelen
Behavior Technician
640 Seminole Rd
Norton Shores
, Michigan 49441-4720
(231) 728-3501
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Kimberly Renee Thelen
- 640 Seminole Rd
- Norton Shores, MI
- Zip : 49441-4720
- Phone : (231) 728-3501
Second Address
- Kimberly Renee Thelen
- 640 Seminole Rd
- Norton Shores, MI
- Zip : 49441-4720
- Phone : (231) 728-3501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003316241 |
|---|---|
| Provider Name | Kimberly Renee Thelen |
| First Address | Norton Shores, MI 49441-4720 |
| Second Address | Norton Shores, MI 49441-4720 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2018 |
| Last Update Date | 14/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.