Healthcare Provider Details

I. General information

NPI: 1881552172
Provider Name (Legal Business Name): KIRSTEN CLAIRE DANAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 N 53RD AVE STE 160
PHOENIX AZ
85031-3038
US

IV. Provider business mailing address

27777 INKSTER RD SUITE 100
FARMINGTON HILLS MI
48334-5310
US

V. Phone/Fax

Practice location:
  • Phone: 602-962-7310
  • Fax:
Mailing address:
  • Phone: 855-772-8847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: