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

Dustin Daniel Maxam

Individual provider Behavior Technician · NPI 1588282909

Dustin Daniel Maxam is a Behavior Technician in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

1360 Porter St Lowr LEVEL1
Dearborn, MI 48124-2890
Phone: (313) 689-5188
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1588282909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address1360 Porter St Lowr Level1, Dearborn, MI 48124-2890

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