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

Michael Patrick Wisienski

Individual provider Behavior Technician · NPI 1174334999

Michael Patrick Wisienski 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
Southgate, MI 48195-3094
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 number1174334999
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address1 Heritage Dr, Southgate, MI 48195-3094

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