Gage Delich
Individual provider Active NPI Behavior Technician · Wakefield, MI
NPI 1902503501 · NPPES record last updated Feb 14, 2023
Key facts
- NPI
- 1902503501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 103 W US Highway 2
Wakefield, MI 49968-9515 - Phone
- (906) 229-6120
- Fax
- (906) 229-6191
- NPI assigned
- Feb 14, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
103 W US Highway 2
Wakefield, MI 49968-9515
Mailing address
103 W US Highway 2
Wakefield, MI 49968-9515
Phone (906) 229-6120
Other providers in Wakefield, MI
- Amanda Catherine Cole
- Joseph M Cools
- Brianna Cross
- Gina Cummings
- Maleah D Cummings
- Megan Dickerson
- Janet Lynn Digiorgio
- Mackenzie Eder
- Amy Farrell
- Jenna Fingeroos
All providers in Wakefield, 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 Feb 14, 2023. 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.