Macy Marie Larente
Individual provider Active NPI Behavior Technician · Standish, MI
NPI 1134968340 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1134968340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3727 Deep River Rd
Standish, MI 48658-9458 - Phone
- (989) 718-3146
- NPI assigned
- May 20, 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 | MI | Yes |
Addresses
Primary practice location
3727 Deep River Rd
Standish, MI 48658-9458
Mailing address
1881 W M 55
West Branch, MI 48661-9702
Phone (989) 295-4627
Other providers in Standish, MI
- Victoria Kraatz
- Chelsey Kreil
- Tiffany Lacourse
- Jeannine Lalonde
- Kristin A Lance
- Shannon Layton
- Sydney L Learman
- Leonard J Leclair
- Melissa Lynn Lefever
- Lisa Marie Lemke
All providers in Standish, 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 May 20, 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.