Daedra N Ackerman

Individual provider Active NPI Behavior Technician · Billings, MT

NPI 1225522923 · NPPES record last updated Jun 18, 2018

Key facts

NPI
1225522923
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1610 Poly Dr
Billings, MT 59102-1724
Phone
(406) 259-1680
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

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

1610 Poly Dr
Billings, MT 59102-1724

Mailing address

23 Yellowstone Ave Apt 8
Billings, MT 59101-1813
Phone (815) 915-6771

Other providers in Billings, MT

All providers in Billings, MT · Behavior Technician in Montana

Sources for this page

Verify at the official NPI Registry.