Provider Demographics
NPI:1356130058
Name:HILTON, JODY LYNN (RBT)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:LYNN
Last Name:HILTON
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 491
Mailing Address - Street 2:
Mailing Address - City:HOWARD CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49329-0491
Mailing Address - Country:US
Mailing Address - Phone:231-519-8300
Mailing Address - Fax:
Practice Address - Street 1:239 S ENSLEY ST
Practice Address - Street 2:
Practice Address - City:HOWARD CITY
Practice Address - State:MI
Practice Address - Zip Code:49329-8656
Practice Address - Country:US
Practice Address - Phone:231-519-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician