Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumm Carlisle

Individual provider Behavior Technician · NPI 1629767926

Autumm Carlisle is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone: (313) 406-5056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629767926
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address19853 Outer Dr Ste 110, Dearborn, MI 48124-2044

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