Deellison Aych

Individual provider Active NPI Behavior Technician · Farmington Hills, MI

NPI 1407614258 · NPPES record last updated Mar 7, 2024

Key facts

NPI
1407614258
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone
(248) 436-4400
NPI assigned
Mar 7, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Mailing address

27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone (248) 436-4400

Other providers in Farmington Hills, MI

All providers in Farmington Hills, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.