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

Renee Fan

Individual provider Behavior Technician · NPI 1255122511

Renee Fan is a Behavior Technician in Southfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036
Phone: (248) 301-1098
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1255122511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address29566 Northwestern Hwy Ste 100, Southfield, MI 48034-1036

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