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

Madison Vandervennet, MS, QBHP

Individual provider Other Technician · NPI 1669826582

Madison Vandervennet, MS, QBHP is an Other Technician in Clarkston, Michigan. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

4998 Tiohero Blvd
Clarkston, MI 48348-3382
Phone: (248) 807-3102
Show map & directions

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

Additional practice locations (1)

  • 5093 Waterford Rd, Clarkston, MI 48346-3460 — (248) 807-3102

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1669826582
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , QBHP
Sole proprietorNo
NPI enumeratedApril 17, 2016
Last updated in NPPESAugust 19, 2019

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