Micalyn Ely
Individual provider Active NPI Behavior Technician · Robinson, TX
NPI 1124842406 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1124842406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 620 N Robinson Dr
Robinson, TX 76706-5312 - Phone
- (254) 732-2262
- NPI assigned
- Nov 13, 2024
- 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
620 N Robinson Dr
Robinson, TX 76706-5312
Mailing address
620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262
Other providers in Robinson, TX
- Anthony Dykes
- Ashby Eaton
- Emma Elliott
- Amber Hays Ellis
- Laney Ellis
- Tyli Emanuel
- Encompass Health Rehabilitation Hospital of Waco, LLC
- Keri Leigh Farek
- Focus Behavioral Associates, LLC
- Peyton Grace Foster
All providers in Robinson, TX · Behavior Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. 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.