Matthew Hendrix
Individual provider Active NPI Behavior Technician · Warren, MI
NPI 1679233449 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1679233449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3601 E 11 Mile Rd
Warren, MI 48092-2878 - Phone
- (303) 989-8169
- NPI assigned
- Dec 21, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3601 E 11 Mile Rd
Warren, MI 48092-2878
Mailing address
3601 E 11 Mile Rd
Warren, MI 48092-2878
Other providers in Warren, MI
- Helping Hands Bless LLC
- Helpinghandscarellc
- Paula Christine Hemphill
- Holly Marie Hendershot
- Courtney Hendon
- Henr Y Ford Health System
- Henry Ford Health Eastwood Behavioral Health
- Henry Ford Health Macomb Oakland Hospital
- Henry Ford Health Macomb Oakland Hospital
- Henry Ford Health Macomb Oakland Hospital
All providers in Warren, 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 Dec 21, 2021. 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.