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

Jesse Wade Vandommelen

Individual provider Behavior Technician · NPI 1093660201

Jesse Wade Vandommelen is a Behavior Technician in Kentwood, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3350 E Paris Ave SE
Kentwood, MI 49512-2907
Phone: (616) 734-6094
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 number1093660201
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address3350 E Paris Ave Se, Kentwood, MI 49512-2907

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