Nancy Marie Larimer, BS
Individual provider Active NPI Behavior Technician · Hansen, ID
NPI 1053900787 · NPPES record last updated Jan 17, 2021
Key facts
- NPI
- 1053900787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2484 Rock Creek Rd
Hansen, ID 83334-5252 - Phone
- (707) 695-0449
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ID | Yes |
Addresses
Primary practice location
2484 Rock Creek Rd
Hansen, ID 83334-5252
Mailing address
2484 Rock Creek Rd
Hansen, ID 83334-5252
Phone (707) 695-0449
Other providers in Hansen, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 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.