MEDICARE: KENNETH RITZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1396532172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH RITZ

Provider Business Mailing Address
First Line	:	1517 RYAN ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5536
Country	:	US
Telephone Number	:	989-709-0625
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 W YOUNGS DITCH RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6969
Country	:	US
Telephone Number	:	989-893-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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Directions to “ KENNETH RITZ ” Practice Location

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