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

Mr. Jakob Michael Rose

Individual provider Behavior Technician · NPI 1972455806

Mr. Jakob Michael Rose is a Behavior Technician in Woodhaven, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026
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Practice location Address checks out

23755 E Fairway Dr
Woodhaven, MI 48183-3100
Phone: (313) 278-4601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence R200364603562 (MI)

Record details

NPI number1972455806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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