Brooke Taylor Eager

Individual provider Active NPI Behavior Technician · Three Rivers, MI

NPI 1295587269 · NPPES record last updated Dec 3, 2024

Key facts

NPI
1295587269
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
306 S Lincoln Ave
Three Rivers, MI 49093-2022
Phone
(269) 535-9183
NPI assigned
Apr 3, 2024
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
Wings of Hope LLC Current
since Nov 17, 2024
Accepting new patients

Locations

306 S Lincoln Ave
Three Rivers, MI 49093
Phone (269) 279-7116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19009/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

306 S Lincoln Ave
Three Rivers, MI 49093-2022

Mailing address

300 S Hooker Ave
Three Rivers, MI 49093-2010
Phone (269) 779-3010

Other names

  • Brooke Taylor Miller Former name

Other providers in Three Rivers, MI

All providers in Three Rivers, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.