Mr. Kenneth Jason Sharp II
Mr. Kenneth Jason Sharp II is a Behavior Technician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
14799 Dix Toledo RdSouthgate, MI 48195-2507
Phone: (313) 831-5535
Fax: (313) 831-2608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence S610465373288 (MI) |
Record details
| NPI number | 1538617634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 17, 2016 |
| Last updated in NPPES | December 17, 2024 |
| Certification date | December 17, 2024 |
| Mailing address | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 |
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