Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wave Medical Center PLLC

Organization Behavior Analyst · NPI 1396401543

Wave Medical Center PLLC is a Behavior Analyst in Detroit, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
9
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17600 W Warren Ave
Detroit, MI 48228-3509
Phone: (313) 903-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Speech-Language Pathologist Taxonomy 235Z00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1396401543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nergis Jassim — Admin · (313) 903-3338
NPI enumeratedNovember 11, 2021
Last updated in NPPESNovember 13, 2021
Certification dateNovember 13, 2021
Mailing address21103 Fairview Dr, Dearborn Heights, MI 48127-2686

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