Stephanie Billardello
Individual provider Active NPI Behavior Technician · Macomb, MI
NPI 1174097067 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1174097067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17436 Normandy Dr
Macomb, MI 48044-5581 - Phone
- (586) 907-7970
- NPI assigned
- Jan 14, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
17436 Normandy Dr
Macomb, MI 48044-5581
Mailing address
17436 Normandy Dr
Macomb, MI 48044-5581
Phone (586) 907-7970
Other providers in Macomb, MI
- Pavel Bence
- Bruce J Benderoff
- Whitney Berenter
- Sharon Bialas
- Mark Allan Bieszki
- Cristina Enza Billiau
- Kevin Binsell
- Bio-Medical Applications of Michigan, Inc.
- Glenda Bjornson
- Earl Black
All providers in Macomb, 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 Jan 14, 2019. 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.