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

Jeremiah Ridgeway

Individual provider Behavior Technician · NPI 1417783994

Jeremiah Ridgeway is a Behavior Technician in Warren, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

28241 Mound Rd Ste C
Warren, MI 48092-5523
Phone: (989) 401-2244
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1417783994
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address5039 Villa Linde Pkwy Ste 30, Flint, MI 48532-3450

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