Madelin House
Individual provider Active NPI Behavior Technician · Walker, MI
NPI 1619794294 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1619794294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2787 Wilson Ave NW
Walker, MI 49534-7510 - Phone
- (616) 915-2066
- NPI assigned
- Sep 24, 2024
- 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 |
|---|---|---|---|
| Behavior Analysts of West Michigan, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2787 Wilson Ave NW
Walker, MI 49534-7510
Mailing address
2787 Wilson Ave NW
Walker, MI 49534-7510
Phone (616) 915-2066
Other providers in Walker, MI
- Yoselin Hertz
- David G Higley
- Derrick Holeman
- Jeffrey Phillip Hollander
- Jeffrey Hoogstra
- Jennifer Renee Hudson
- Huffman Counseling Services
- Olivia Puente Huffman
- Joseph Michael Hyland
- Icare Home Care Services LLC
All providers in Walker, 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 Sep 24, 2024. 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.