Isabelle Adon

Individual provider Active NPI Behavior Technician · Greensboro, NC

NPI 1154021780 · NPPES record last updated Mar 2, 2023

Key facts

NPI
1154021780
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
23-258678 (NC)
Practice address
3110 Utah PL Apt F
Greensboro, NC 27405-3981
Phone
(973) 391-3842
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
23-258678NCMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 23-258678 NC Yes

Addresses

Primary practice location

3110 Utah PL Apt F
Greensboro, NC 27405-3981

Mailing address

3110 Utah PL Apt F
Greensboro, NC 27405-3981

Other identifiers

IdentifierTypeStateIssuer
200490257-02OtherFRIDAY

Other providers in Greensboro, NC

All providers in Greensboro, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.