Provider Demographics
NPI:1033841069
Name:JAGER, SAIGE ALYSS
Entity Type:Individual
Prefix:
First Name:SAIGE
Middle Name:ALYSS
Last Name:JAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6129 OLD STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48461-8137
Mailing Address - Country:US
Mailing Address - Phone:810-625-3250
Mailing Address - Fax:
Practice Address - Street 1:6129 OLD STATE RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48461-8137
Practice Address - Country:US
Practice Address - Phone:810-625-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician