Provider Demographics
NPI:1043756935
Name:BOROWITZ, KRISTEN (MASTERS OF ARTS)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:BOROWITZ
Suffix:
Gender:F
Credentials:MASTERS OF ARTS
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:VEITENGRUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:9905 GERA RD
Mailing Address - Street 2:
Mailing Address - City:BIRCH RUN
Mailing Address - State:MI
Mailing Address - Zip Code:48415-9709
Mailing Address - Country:US
Mailing Address - Phone:989-529-4419
Mailing Address - Fax:
Practice Address - Street 1:6200 STATE ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3490
Practice Address - Country:US
Practice Address - Phone:989-401-1239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-16
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-21-47275103K00000X
MI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician