Provider / Organization | NPI | Date Certified |
---|---|---|
MADELINE TIMMER | 1336879808 | 2023-05-07 |
Madeline Timmer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336879808. Registration indicates Madeline Timmer is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Other Service Providers, Community Health Worker) (Community Health Worker, ) (Community Health Worker, Other Service Providers)
Entity Type | Individual |
Provider Name | Madeline Timmer |
Practice Office Address | 2140 E. ELLSWORTH ANN ARBOR, MI US |
Practice Office Telephone | 7345443000 |
Practice Office Fax | 7345446716 |
Mailing Address | 555 TOWNER ST YPSILANTI, MI 48197 US |
Business Telephone | 7345443000 |
Code | Practice | License No State |
---|---|---|
106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers |