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Michael A Wrease II

Behavior Technician in El Paso, TX. Individual provider (NPI-1).

NPI number1104568682
StatusActive
Last updated in NPPESApr 13, 2022

Details

NPI
1104568682
Entity type
Individual (NPI-1)
Name
Michael A Wrease II
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2022
Certification date
Apr 13, 2022
Last updated
Apr 13, 2022

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–TXYes

Other names

  • Mike Wrease (Other Name)

Practice location

1101 E Schuster Ave
El Paso, TX 79902-4659

Phone 915-544-8484

Mailing address

12904 Alfredo Apodaca
El Paso, TX 79938-1000

Phone 478-220-1824

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.

Other Behavior Technician providers in El Paso, TX

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