Isabella Puckett
Individual provider Active NPI Behavior Analyst · Bear Lake, MI
NPI 1124806500 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1124806500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 11660 Chippewa Hwy
Bear Lake, MI 49614-9419 - Phone
- (231) 655-3146
- NPI assigned
- Sep 18, 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
11660 Chippewa Hwy
Bear Lake, MI 49614-9419
Mailing address
11660 Chippewa Hwy
Bear Lake, MI 49614-9419
Phone (231) 655-3146
Other providers in Bear Lake, MI
- Keely-Shaye Lonsbury
- Audrey Mattingly
- Sarah Nichols
- Northwest Michigan Health Services, Inc.
- Jacqueline J Norton
- Emma Quick
- Karen R Schneider
- Tabatha Schrader
- Maryann Marie Smith
- Tiffanie Weeden
All providers in Bear Lake, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 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.