Individual provider · NPI-1
Zeke Midgard, PSS
Behavior Technician · Farmington Hills, MI
NPI number1255025813
StatusActive
Last updated in NPPESOct 3, 2025
Details
- NPI
- 1255025813
- Entity type
- Individual (NPI-1)
- Name
- Zeke Midgard
- Credential
- PSS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2023
- Certification date
- Oct 3, 2025
- Last updated
- Oct 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 175T00000X | Peer Specialist | THW000108902 | OR |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 855-772-8847
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 855-772-8847
Other practice locations
2555 Silverton Rd Ne
Salem, OR 97301-0837
Salem, OR 97301-0837
Phone 503-393-4273
945 Se Uglow Ave
Dallas, OR 97338-2642
Dallas, OR 97338-2642
Phone 503-837-1762
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