Michelle Dildine

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

444 2ND Loop Rd
Florence, SC 29505-2814

Phone

(843) 536-8675

Fax

(615) 577-5654

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1114564226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "844-359-7629",
            "fax_number": "615-577-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052814",
            "telephone_number": "843-536-8675",
            "fax_number": "615-577-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILDINE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Phillip Diggs Sr.
• Teara Brittney Dilks, NNP
• Natalie Dill, LCMHCA
• Lauren Frees Dillard, NNP
• Olivia Miles Dillenbeck, PA-C
• Zachary Dipaolo

• Behavior Technician in Florence, SC
• Providers in Florence, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.