MEDICARE: ADRIANNA JANE HADDIX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		MI

General Provider Information

NPI Number	:	1144076548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNA JANE HADDIX

Provider Business Mailing Address
First Line	:	770 W HOLLAND LAKE RD
Second Line	:
City	:	SIDNEY
State	:	MI
Zip	:	48885-9743
Country	:	US
Telephone Number	:	616-894-3232
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 W HOLLAND LAKE RD
Second Line	:
City	:	SIDNEY
State	:	MI
Zip	:	48885-9743
Country	:	US
Telephone Number	:	616-894-3232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	04/09/2026

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Directions to “ ADRIANNA JANE HADDIX ” Practice Location

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