Marshall S Aldrich
Individual provider Active NPI Behavior Technician · Cantonment, FL
NPI 1154800787 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1154800787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 18-63191 (MS)
- Practice address
- 3771 Stefani Rd
Cantonment, FL 32533-7795 - Phone
- (850) 607-6910
- NPI assigned
- Aug 14, 2018
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-63191 | MS | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-63191 | MS | Yes |
Addresses
Primary practice location
3771 Stefani Rd
Cantonment, FL 32533-7795
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910
Other providers in Cantonment, FL
- Dana Abdel-Latif
- Ashley Abraham
- Alicia V Adkins
- Rhonda R Adkinson
- Rafah Aflak
- Kaylin Allen
- Alpha Enrichment Agency, Inc.
- Savannah Alvarez
- Kelsey Amato
- Aliyah Anderson
All providers in Cantonment, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. 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.