Neidaly Babcock
Individual provider Active NPI Behavior Technician · Grandville, MI
NPI 1164215901 · NPPES record last updated May 24, 2025
Key facts
- NPI
- 1164215901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4370 Chicago Dr SW Ste 735
Grandville, MI 49418-1694 - Phone
- (616) 341-7470
- NPI assigned
- May 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Entiva Behavioral Health LLC | Current |
Accepting new patients |
Locations
4370 Chicago Dr SW
Ste 735
Grandville, MI 49418
Phone (616) 341-7470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Yes |
Addresses
Primary practice location
4370 Chicago Dr SW Ste 735
Grandville, MI 49418-1694
Mailing address
4370 Chicago Dr SW Ste 735
Grandville, MI 49418-1694
Other providers in Grandville, MI
- Ann M Auburn
- Michelle Katherine Aue
- Kimalyn Sue Averill
- Mary D Ayers
- Maha Baalbaki
- Margaret Elizabeth Bader
- Autumn N Bahlke
- Aaron Bailey
- Olivia Baker
- Nancy Baldus
All providers in Grandville, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.