IndividualActive
Amanda Ede
NPI 1396596441 · Behavior Technician · Shelby Township, MI
Provider details
- NPI number
- 1396596441
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
13019 Pauline Dr
Shelby Township, MI 48315-3122
Phone: (586) 207-9255
Fax: (248) 403-8506
Approximate (ZIP-level) locationGet directions
Mailing address
13019 Pauline Dr
Shelby Township, MI 48315-3122
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.