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

Mercedese Jack

Individual provider Behavior Technician · NPI 1780565002

Mercedese Jack is a Behavior Technician in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917
Phone: (586) 404-9400
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 number1780565002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address3290 W Big Beaver Rd Ste 510, Troy, MI 48084-2917

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