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

Individual provider Behavior Technician · NPI 1053858399

Jordan Kohnke, BA is a Behavior Technician in Bridgeport, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Phone: (989) 401-1239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5815 Bay Rd, Saginaw, MI 48604-2542 — (989) 941-3730

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1053858399
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655

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