Nick Brommer
Individual provider Active NPI Behavior Technician · Cameron, NC
NPI 1053085456 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1053085456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 185 Mittie Haddock Dr Ste 200
Cameron, NC 28326-9379 - Phone
- (800) 991-6070
- NPI assigned
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
185 Mittie Haddock Dr Ste 200
Cameron, NC 28326-9379
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
Other providers in Cameron, NC
- Lisa Booth
- Mischelle Mariano Boughton
- Justin P Bowdish
- Patricia Danielle Brenner
- Britt'S Performance Nutrition
- Ronica Marie Brown
- Tiffany Ann Brown
- Browning Speech Solutions
- Sara Louise Browning
- Buffalo Lake Medical, PLLC
All providers in Cameron, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. 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.