IndividualActive
Adam Wagner
NPI 1740761022 · Behavior Technician · Novi, MI
Provider details
- NPI number
- 1740761022
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone: (248) 299-0030
Approximate (ZIP-level) locationGet directions
Mailing address
41521 W 11 Mile Rd
Novi, MI 48375-1803
Registry dates
- Enumerated
- 2018-08-24
- Last updated
- 2018-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.