Eustace Pilgram
Behavior Technician in Novi, MI. Individual provider (NPI-1).
NPI number1861973265
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1861973265
- Entity type
- Individual (NPI-1)
- Name
- Eustace Pilgram
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
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
41521 W 11 Mile RdNovi, MI 48375
Phone 248-912-1640
Mailing address
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-912-1640
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 4,423 Behavior Technician providers in Novi · All 8,418 providers in Novi
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