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

Todd Jordan Booth

Individual provider Behavior Technician · NPI 1477479764

Todd Jordan Booth is a Behavior Technician in Grosse Pointe Woods, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893
Phone: (313) 343-1370
Fax: (313) 343-1370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1477479764
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236-2893

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