Most Relevant Information
Provider Data
| NPI Number: | 1003359167 |
| Provider Name: | KENYA MARIE BARKSDALE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2016 |
| Last Updated: | 12/10/2019 |
Provider Practice Location
32100 TELEGRAPH RD STE 205
BINGHAM FARMS
MI
480252454
Practice Location Phone/Fax
| Phone: | 2487124266 |
| Fax: |
Provider Mailing Location
4040 GREEN ISLE WAY APT 4
SAGINAW
MI
486031408
Provider Mailing Phone/Fax
| Phone: | 3135743938 |
| Fax: |