Healthcare Provider Details

I. General information

NPI: 1225490303
Provider Name (Legal Business Name): JENNIFER SWETS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49970 VAN DYKE AVE
SHELBY TOWNSHIP MI
48317-1347
US

IV. Provider business mailing address

49970 VAN DYKE AVE
SHELBY TOWNSHIP MI
48317-1347
US

V. Phone/Fax

Practice location:
  • Phone: 586-991-6596
  • Fax: 248-712-4381
Mailing address:
  • Phone: 586-991-6596
  • Fax: 248-712-4381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401000003
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-21693
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: