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

Angel Mateo Defay- Marrero

Individual provider Behavior Technician · NPI 1194472209

Angel Mateo Defay- Marrero is a Behavior Technician in West Bloomfield, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

5281 W Maple Rd Unit 195
West Bloomfield, MI 48322
Phone: (844) 244-4832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 W Greenlawn Ave Ste 200, Lansing, MI 48910-2889 — (517) 657-2638

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1194472209 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1194472209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESApril 6, 2023
Certification dateMarch 23, 2023

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