Alex Koblin

Individual provider Active NPI Behavior Technician · Farmington Hills, MI

NPI 1801688908 · NPPES record last updated May 22, 2025

Key facts

NPI
1801688908
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27777 Inkster Rd
Suite 100
Farmington Hills, MI 48334-5310
Phone
(855) 772-8847
NPI assigned
May 22, 2025
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
Suite 100
Farmington Hills, MI 48334-5310

Mailing address

27777 Inkster Rd
Suite 100
Farmington Hills, MI 48334-5310
Phone (855) 772-8847

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.