Wade, John

Wade, John is an individual health care provider with primary practice located at 4785 W. Grant Rd. , Shelby MI 49455. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Wade, John can be contacted via phone (231) 724-0382.

Contact Information

Primary practice address
4785 W. Grant Rd. Shelby MI 49455
Phone: (231) 724-0382
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401000424 Michigan

Profile Details

NPI number 1285162818
LBN Legal business name Wade, John
Credentials BCBA, MA OF ED. L.
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2017
Last updated Jun 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285162818 NPPES
Michigan MEDICAID 1003914946
Michigan Other 7401000424

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