Individual
MRS. BRENNAN KYLEE EKDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3928 ELIZABETH ST, ROSEBUSH, MI 48878-5002
(989) 263-2857
Mailing address
4860 FIELDSTONE LN APT 20, MT PLEASANT, MI 48858-8998
(989) 942-4267
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003200
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/06/2022
Last updated
03/27/2026
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