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Abraham Lacourse

Behavior Technician in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1962284166
StatusActive
Last updated in NPPESOct 20, 2023

Details

NPI
1962284166
Entity type
Individual (NPI-1)
Name
Abraham Lacourse
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2023
Certification date
Oct 20, 2023
Last updated
Oct 20, 2023

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––Yes

Practice location

4234 Cascade Rd Se Ste 3
Grand Rapids, MI 49546-8384

Phone 877-654-4144

Mailing address

4234 Cascade Rd Se Ste 3
Grand Rapids, MI 49546-8384

Phone 877-654-4144

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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