Michaela Marie Beiting

Individual provider Active NPI Behavior Technician · Blacklick, OH

NPI 1215779657 · NPPES record last updated Dec 19, 2024

Key facts

NPI
1215779657
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1582 N Waggoner Rd Ste a
Blacklick, OH 43004-8669
Phone
(614) 344-0419
NPI assigned
Jun 7, 2024
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1582 N Waggoner Rd Ste a
Blacklick, OH 43004-8669

Mailing address

8983 Lyncris Dr
Cincinnati, OH 45242-7339
Phone (513) 503-6867

Other practice location 1

8983 Lyncris Dr
Cincinnati, OH 45242-7339
Phone (513) 503-6867

Other providers in Blacklick, OH

All providers in Blacklick, OH · Behavior Technician in Ohio

Sources for this page

Verify at the official NPI Registry.