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

Madeline Nicole Tietema

Individual provider Behavior Technician · NPI 1134977754

Madeline Nicole Tietema is a Behavior Technician in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

551 36th St SE
Grand Rapids, MI 49548-2355
Phone: (616) 512-2781
Show map & directions

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

Additional practice locations (1)

  • 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108 — (844) 244-1818

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134977754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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