Tristan William Ficks
Behavior Technician in Benton Harbor, MI. Individual provider (NPI-1).
NPI number1093595035
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1093595035
- Entity type
- Individual (NPI-1)
- Name
- Tristan William Ficks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2023
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone 269-876-5697 · Fax 269-359-3730
Mailing address
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone 269-876-5697 · Fax 269-359-3730
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 285 Behavior Technician providers in Benton Harbor · All 1,166 providers in Benton Harbor
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