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

Kennedi Theobald

Individual provider Behavior Technician · NPI 1508721390

Kennedi Theobald is a Behavior Technician in Chesterfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

30330 Hickey Rd
Chesterfield, MI 48051-3911
Phone: (586) 421-4062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1508721390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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