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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOKE LEIGH DIETRICH

Active Sole Proprietor

BROOKE LEIGH DIETRICH is a Behavior Technician healthcare provider located in BRIDGEPORT, Michigan. NPI 1992425938 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · BRIDGEPORT, MI

Registration Details

NPI Number
1992425938
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2022 (3.9799405585929 yrs)
Last Updated
Aug 30, 2022
Sole Proprietor
Yes

Practice Information

Address
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI, 487229655
Browse MI providers · Browse ZIP 48722
Phone
9894011239
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in BRIDGEPORT, MI

Name Credential NPI
JORDAN KOHNKE B.A 1053858399
MAKENZIE KAY MENTEL 1164075370
JUANITA CANTY 1912553876
BRIANNA C SAHR 1023630142
SARAH KAY LARSEN 1093322620
RYAN ABRAHAM LABEAN 1710584305
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.