Mariah McCormick
Individual provider Active NPI Behavior Technician · Sumterville, FL
NPI 1316769573 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1316769573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2210 CR 528
Sumterville, FL 33585-5214 - Phone
- (352) 569-4252
- NPI assigned
- Oct 29, 2024
- 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
2210 CR 528
Sumterville, FL 33585-5214
Mailing address
1643 CR 607D
Bushnell, FL 33513-3563
Other providers in Sumterville, FL
- Jan Jusino Medina
- Katrina Kilburn
- Ariana Jazmin Leal Gonzalez
- Savannah Mahar
- Irina V Matthews
- Stacy Nikki Miner
- Santharam V Nallamshetty
- Janelle Nichols
- Megan Pagano
- Vanessa Patterson
All providers in Sumterville, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. 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.