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

Pheonix Lacoe Kreutzer-Bailey, PK

Individual provider Behavior Technician · NPI 1972388148

Pheonix Lacoe Kreutzer-Bailey, PK is a Behavior Technician in Gladwin, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

1234 W Cedar Ave
Gladwin, MI 48624-1818
Phone: (989) 492-0591
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence K632683488615 (MI)

Record details

NPI number1972388148
Entity typeIndividual (Type 1)
GenderMale
Credentials PK
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

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