Timothy Hutchins

Individual provider Active NPI Behavior Technician · Weidman, MI

NPI 1720523640 · NPPES record last updated Jan 2, 2017

Key facts

NPI
1720523640
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
940 N Woodruff Rd
Weidman, MI 48893-9605
Phone
(989) 506-9116
NPI assigned
Jan 2, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Central Michigan Care, Inc. Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

940 N Woodruff Rd
Weidman, MI 48893-9605

Mailing address

940 N Woodruff Rd
Weidman, MI 48893-9605
Phone (989) 506-9116

Other providers in Weidman, MI

All providers in Weidman, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.