Janette Nostrum, RBT

Individual provider Active NPI Behavior Technician · Mills, WY

NPI 1255853099 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1255853099
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
945 Pendell Blvd.
Mills, WY 82644
Phone
(307) 215-1032
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Care Specialists, Inc Behavior Technician Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

945 Pendell Blvd.
Mills, WY 82644

Mailing address

945 Pendell Blvd.
Mills, WY 82644
Phone (307) 215-1032

Other providers in Mills, WY

All providers in Mills, WY · Behavior Technician in Wyoming

Sources for this page

Verify at the official NPI Registry.