Healthcare Provider Details

I. General information

NPI: 1275473894
Provider Name (Legal Business Name): KENDRA GARDETTE-CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 DEXTER ANN ARBOR RD STE A
DEXTER MI
48130-8568
US

IV. Provider business mailing address

1336 RAMBLING RD
YPSILANTI MI
48198-3157
US

V. Phone/Fax

Practice location:
  • Phone: 734-680-8800
  • Fax:
Mailing address:
  • Phone: 734-678-6924
  • 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: