IndividualActive
Alexander Wassom
NPI 1790508257 · Behavior Technician · Okemos, MI
Provider details
- NPI number
- 1790508257
- 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
2248 Mount Hope Rd
Okemos, MI 48864-2570
Phone: (866) 727-8274
Approximate (ZIP-level) locationGet directions
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.