Individual
KAITLYN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 FORT ST, TRENTON, MI 48183-2003
(734) 304-4159
Mailing address
31153 PLYMOUTH RD STE 105, LIVONIA, MI 48150-2134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251B00000X
Case Management Agency
Primary
6852094490
MI
Other
Enumeration date
01/04/2021
Last updated
08/13/2026
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