Mariyah Krystin Fales
Individual provider Active NPI Behavior Technician · Springfield, VT
NPI 1033810072 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1033810072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 43 Union St
Springfield, VT 05156-3133 - Phone
- (802) 885-5155
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| Springfield Medical Care Systems Inc | Past |
Accepting new patients | |
| Springfield Medical Care Systems Inc. | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | VT | Yes |
Addresses
Primary practice location
43 Union St
Springfield, VT 05156-3133
Mailing address
PO Box 955
Glen, NH 03838-0955
Other providers in Springfield, VT
- Karen Esterline
- Sue T Euphrat
- Eureka Diagnostic Imaging PC
- Amanda Fairbanks
- Laura Fairbanks
- Ashley Farkas
- Gianina Farrugia
- Christopher Allen Fauver
- Christina Snell Feindel
- Kathy G Felder
All providers in Springfield, VT · Behavior Technician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 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.