Individual provider · NPI-1

Austin Blicher

Technician/Technologist · Detroit, MI

NPI number1922521939

StatusActive

Last updated in NPPESOct 4, 2021

Details

NPI: 1922521939
Entity type: Individual (NPI-1)
Name: Austin Blicher
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 21, 2017
Certification date: Oct 4, 2021
Last updated: Oct 4, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
156F00000X	Technician/Technologist	–	–	Yes
106S00000X	Behavior Technician	–	–

Practice location

400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502

Phone 888-922-2843 · Fax 855-568-2494

Mailing address

6104 Lake Waldon Dr
Clarkston, MI 48346-2287

Other practice locations

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Phone 248-712-4266

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.