=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336063270
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MR. CASEY ROBERT DUNN
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2026
-----------------------------------------------------
Last Update Date | 08/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 TERI DEE UNIT C
-----------------------------------------------------
City | CADILLAC
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49601-8318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-645-4737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14135 BULLDOG LN APT 63A
-----------------------------------------------------
City | BIG RAPIDS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49307-2469
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-923-1421
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------