Michelle Faucheux Trzeciak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-34902 Issued in FL

Practice address

3208 W 23Rd St Ste 4
Panama City, FL 32405-1830

Phone

(850) 818-0095

NPI assigned

Dec 28, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Focus on Behavior

  • Behavior Analyst
  • Panama City, FL
  • NPI 1063863231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1184130171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 GRACE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 W 23RD ST STE 4",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051830",
            "telephone_number": "850-818-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZECIAK",
        "first_name": "MICHELLE",
        "middle_name": "FAUCHEUX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-34902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Troncale, LPRN
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• Carole J Truluck, CRNA
• Sarah Kaitlyn Truncer
• Elzaan Truter
• Jeremy Tseng, MD
• Chelsea Tucker
• Jason Glenn Tucker, LMHC
• Thomas W Tully Jr.
• Maciej Tumiel, M.D.

• Behavior Analyst in Panama City, FL
• Providers in Panama City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.