Lisa Bartell

Individual provider Active NPI Behavior Technician · Manchester, MD

NPI 1356900765 · NPPES record last updated Jun 10, 2019

Key facts

NPI
1356900765
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
York Rd #1
Manchester, MD 21088
Phone
(360) 929-7397
NPI assigned
Jun 10, 2019
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

York Rd #1
Manchester, MD 21088

Mailing address

7200 Vicky Dr
Woodbine, MD 21797-9152

Other providers in Manchester, MD

All providers in Manchester, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.