Rachael Mazin
Individual provider Active NPI Behavior Technician · Bumpus Mills, TN
NPI 1265128086 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1265128086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 142 Lakeshore Cir
Bumpus Mills, TN 37028-6158 - Phone
- (708) 595-7758
- NPI assigned
- Apr 14, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
142 Lakeshore Cir
Bumpus Mills, TN 37028-6158
Mailing address
130 Alfredo Dr Ste a
Clarksville, TN 37042-2750
Phone (931) 548-7097
Other providers in Bumpus Mills, TN
All providers in Bumpus Mills, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.