Rocio Michell Merida

Individual provider Active NPI Behavior Technician · Moses Lake, WA

NPI 1154915080 · NPPES record last updated Feb 22, 2021

Key facts

NPI
1154915080
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
618 S Alder St
Moses Lake, WA 98837-1760
Phone
(509) 764-6644
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Therapy Services of Moses Lake, LLC Past
since Mar 4, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

618 S Alder St
Moses Lake, WA 98837-1760

Mailing address

618 S Alder St
Moses Lake, WA 98837-1760
Phone (509) 764-6644

Other providers in Moses Lake, WA

All providers in Moses Lake, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.