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

Jordan Addison Patrick

Individual provider Behavior Technician · NPI 1255297693

Jordan Addison Patrick is a Behavior Technician in Southgate, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1 Heritage Dr Ste 100
Southgate, MI 48195-3047
Phone: (734) 767-2250
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 number1255297693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 30, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address1 Heritage Dr Ste 100, Southgate, MI 48195-3047

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