Degarrica D Ditmars
Individual provider Active NPI Behavior Technician · Galion, OH
NPI 1275014227 · NPPES record last updated Aug 12, 2019
Key facts
- NPI
- 1275014227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6 Public SQ
Galion, OH 44833-1926 - Phone
- (567) 560-3583
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Life Counseling & Psychiatric Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6 Public SQ
Galion, OH 44833-1926
Mailing address
74 Cedargate CT
Galion, OH 44833-1209
Phone (901) 626-6912
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2019. 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.