Michelle Duke

Individual provider Active NPI Behavior Technician · Harriman, TN

NPI 1215787809 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1215787809
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
147 Lancer Rd
Harriman, TN 37748-4837
Phone
(865) 371-3928
NPI assigned
Mar 25, 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

147 Lancer Rd
Harriman, TN 37748-4837

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Harriman, TN

All providers in Harriman, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.