Stephanee Tea, RBT

Individual provider Active NPI Behavior Technician · Mills, WY

NPI 1164078044 · NPPES record last updated Oct 16, 2019

Key facts

NPI
1164078044
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
945 Pendell Blvd
Mills, WY 82644
Phone
(605) 271-2690
Fax
(605) 271-3956
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

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
Behavior Care Specialists, Inc Behavior Technician Past
since Aug 18, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

945 Pendell Blvd
Mills, WY 82644

Mailing address

2804 E 26TH St Ste 1
Sioux Falls, SD 57103-4019

Other providers in Mills, WY

All providers in Mills, WY · Behavior Technician in Wyoming

Sources for this page

Verify at the official NPI Registry.