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Adam Dettorre, QMHS-BACH

Behavior Technician in Wooster, OH. Individual provider (NPI-1).

NPI number1659019727
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1659019727
Entity type
Individual (NPI-1)
Name
Adam Dettorre
Credential
QMHS-BACH
Sex
Male
Sole proprietor
Yes
Enumeration date
May 26, 2022
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

2285 Benden Dr
Wooster, OH 44691-2568

Phone 330-264-9029

Mailing address

2285 Benden Dr
Wooster, OH 44691-2568

Phone 330-264-9029

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