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

Individual provider Behavior Technician · NPI 1144881129

Jordan Ethan Benjamin, BA is a Behavior Technician in Kentwood, Michigan. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

3361 36th St SE
Kentwood, MI 49512-2809
Phone: (616) 942-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3361 36th St Se, Kentwood, MI 49512-2809 — (616) 942-2522

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1144881129
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESJune 21, 2019
Mailing address3361 36th St Se, Kentwood, MI 49512-2809

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