Healthcare Provider Details

I. General information

NPI: 1184548281
Provider Name (Legal Business Name): REBEKAH LYNNE CAVITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH SCHOTT

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 E STATE ST
CHEBOYGAN MI
49721-2124
US

IV. Provider business mailing address

905 E LINCOLN AVE
CHEBOYGAN MI
49721-2119
US

V. Phone/Fax

Practice location:
  • Phone: 231-420-8301
  • Fax:
Mailing address:
  • Phone: 231-818-5279
  • 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: