Staci Carmean
Individual provider Active NPI Behavior Technician · Ionia, MI
NPI 1104527423 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1104527423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 375 Apple Tree Dr
Ionia, MI 48846-7506 - Phone
- (616) 527-1790
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- 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
375 Apple Tree Dr
Ionia, MI 48846-7506
Mailing address
375 Apple Tree Dr
Ionia, MI 48846-7506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715928 | Medicaid | MI |
Other providers in Ionia, MI
- Chanler Burns
- Stephanie Ann Burrows
- Katy Leanne Campione
- Candy Straubel-Sower LLC
- Karen Ann Carlson
- Carmon Ferman LLC
- Jeff Carrel
- Carson City Hospital
- Carmen Lynn Casey
- Morgan Cashner
All providers in Ionia, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 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.