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

Jaxyn Jadore Kendrick Anderson

Individual provider Behavior Technician · NPI 1083583710

Jaxyn Jadore Kendrick Anderson is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3361 36th St SE
Grand Rapids, MI 49512-2809
Phone: (616) 942-2522
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 number1083583710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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