PHEONIX LACOE KREUTZER-BAILEY PK
NPI 1972388148
Behavior Technician in Gladwin, MI

Active since August 28, 2023
1234 W CEDAR AVE, GLADWIN, MI 48624(989) 492-0591 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pheonix Lacoe Kreutzer-bailey Pk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHEONIX LACOE KREUTZER-BAILEY PK (NPI 1972388148) is an individual behavior technician in Gladwin, Michigan, licensed in Michigan (K632683488615) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1972388148
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NamePHEONIX LACOE KREUTZER-BAILEYCredential: PK
Location Address1234 W CEDAR AVEGladwin, MI 48624-1818
Mailing Address2521 N Elms RdFlushing, MI 48433-9423 · (866) 498-3909
Sole ProprietorNo
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
NPI 1972388148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in MI · K632683488615
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1234 W CEDAR AVE, Gladwin, MI 48624

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Analyst
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624
Behavior Technician
1234 W CEDAR AVE
GLADWIN, MI 48624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pheonix Kreutzer-bailey's NPI number?

The NPI number for Pheonix Kreutzer-bailey is 1972388148. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Pheonix Kreutzer-bailey located?

Pheonix Kreutzer-bailey practices at 1234 W Cedar Ave, Gladwin, MI 48624. The listed phone number is (989) 492-0591.

What is Pheonix Kreutzer-bailey's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Pheonix Kreutzer-bailey was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.