What is Ethan Odom's NPI number?

Ethan Odom's National Provider Identifier (NPI) is 1790515344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Odom's specialty?

Ethan Odom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Ethan Odom located?

Ethan Odom's practice location on file with NPPES is 27777 Inkster Rd, Farmington Hills, MI 48334-5310.

What is Ethan Odom's phone number?

The practice phone number listed in the NPPES registry for Ethan Odom is (248) 436-6561.

Is Ethan Odom's NPI active?

Yes — Ethan Odom's NPI (1790515344) is active in the NPPES registry as of the last update on 2024-08-07.

IndividualActive

Ethan Odom

NPI 1790515344 · Behavior Technician · Farmington Hills, MI

Ethan Odom is a Behavior Technician provider in Farmington Hills, MI (NPI 1790515344).

Provider details

NPI number: 1790515344
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

27777 Inkster Rd

Farmington Hills, MI 48334-5310

Phone: (248) 436-6561

Street-level locationGet directions

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Mailing address