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

Cody Owen Wolf

Individual provider Behavior Technician · NPI 1629909684

Cody Owen Wolf is a Behavior Technician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

10781 E Cherry Bend Rd
Traverse City, MI 49684-5249
Phone: (800) 645-4737
Fax: (231) 525-3170
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence W900001923141 (MI)

Record details

NPI number1629909684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address10781 E Cherry Bend Rd, Traverse City, MI 49684-5249

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