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

Individual provider Behavior Technician · NPI 1669961363

Hannah Kingkittisack, LBA, TLLP is a Behavior Technician in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

16500 Tireman St
Detroit, MI 48228-3629
Phone: (313) 451-1390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10031 Spencer Rd, Brighton, MI 48114-3806 — (810) 229-4334

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 6362010066 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1669961363
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBA , TLLP
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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