Desiree Ahlborn
Individual provider Active NPI Behavior Technician · Crestview, FL
NPI 1013615780 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1013615780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 301 E Hickory Ave
Crestview, FL 32536-2737 - Phone
- (850) 331-3782
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Behavior Consulting, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
301 E Hickory Ave
Crestview, FL 32536-2737
Mailing address
301 E Hickory Ave
Crestview, FL 32536-2737
Phone (850) 331-3782
Other providers in Crestview, FL
- Jennifer Adkins
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- Marielsa Adrianza Adrianza-Weidanz
- Advanced Family Medicine Clinic Inc
- Advantage Dental Oral Health Center of Florida PA
- Amir Ahmadian
- Anthony Al-Dehneh
- Alabata Eye Center LLC
- Phil Alabata
- Alba ABA Therapy Clinic
All providers in Crestview, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.