MEDICARE: JENNIFER REBECCA BRENNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		MI

General Provider Information

NPI Number	:	1689525297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER REBECCA BRENNER

Provider Business Mailing Address
First Line	:	4234 CASCADE RD SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-8384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4234 CASCADE RD SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-8384
Country	:	US
Telephone Number	:	616-202-4840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1770434383 — KATHERINE JEANETTE VEITH
Practice Location Address:

4234 CASCADE RD SE
GRAND RAPIDS, MI
49546-8384

Practice Phone: 757-575-2281
Practice Fax:

1174474613 — TERICA MERCADO
Practice Location Address:

4234 CASCADE RD SE
GRAND RAPIDS, MI
49546-8384

Practice Phone: 616-202-4840
Practice Fax:

1285586784 — KAYLIN DUEY
Practice Location Address:

4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384

Practice Phone: 888-614-4144
Practice Fax: 888-614-4144

1093667255 — SARA QUAY
Practice Location Address:

4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384

Practice Phone: 888-614-4144
Practice Fax: 888-614-4144

1528918059 — JANEEN GARCIA
Practice Location Address:

4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384

Practice Phone: 888-614-4144
Practice Fax: 888-614-4144

1629746680 — HEATHER BURLESON
Practice Location Address:

4234 CASCADE RD SE
GRAND RAPIDS, MI
49546-8384

Practice Phone: 616-202-4840
Practice Fax:

Directions to “ JENNIFER REBECCA BRENNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.