IndividualActive
Patrick Dewalt
NPI 1407410525 · Behavior Technician · Jackson, MI
Patrick Dewalt is a Behavior Technician provider in Jackson, MI (NPI 1407410525).
Provider details
- NPI number
- 1407410525
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1001 Laurence Ave
Jackson, MI 49202-2979
Phone: (517) 740-4777
Street-level locationGet directions
Mailing address
32100 Telegraph Rd
Bingham Farms, MI 48025-2452
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Frequently asked questions
- What is Patrick Dewalt's NPI number?
- Patrick Dewalt's National Provider Identifier (NPI) is 1407410525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Dewalt's specialty?
- Patrick Dewalt is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Patrick Dewalt located?
- Patrick Dewalt's practice location on file with NPPES is 1001 Laurence Ave, Jackson, MI 49202-2979.
- What is Patrick Dewalt's phone number?
- The practice phone number listed in the NPPES registry for Patrick Dewalt is (517) 740-4777.
- Is Patrick Dewalt's NPI active?
- Yes — Patrick Dewalt's NPI (1407410525) is active in the NPPES registry as of the last update on 2024-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.