David J Koetje, BT

Individual provider Active NPI Behavior Technician · Cedar Springs, MI

NPI 1972264620 · NPPES record last updated Mar 3, 2025

Key facts

NPI
1972264620
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
421 Pioneer TRL
Cedar Springs, MI 49319-8136
Phone
(616) 251-8162
NPI assigned
Jan 5, 2022
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
Credentials
Bachelor of Theology

Practice roles

OrganizationSpecialtyStatusNew patients
Bergmark Consulting, LLC Current
since Mar 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

421 Pioneer TRL
Cedar Springs, MI 49319-8136

Mailing address

421 Pioneer TRL
Cedar Springs, MI 49319-8136
Phone (616) 251-8162

Other providers in Cedar Springs, MI

All providers in Cedar Springs, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.