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

Kendra Octavia Blossom

Individual provider Behavior Technician · NPI 1558214072

Kendra Octavia Blossom is a Behavior Technician in Farmington Hills, Michigan. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone: (248) 436-6561
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NC)

Record details

NPI number1558214072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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