Justine Nicole Noren
Individual provider Active NPI Behavior Technician · Timnath, CO
NPI 1366076770 · NPPES record last updated Feb 24, 2020
Key facts
- NPI
- 1366076770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6534 Zimmerman Lake Rd
Timnath, CO 80547-6503 - Phone
- (847) 306-9843
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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
6534 Zimmerman Lake Rd
Timnath, CO 80547-6503
Mailing address
85 Revere Dr Ste Aa
Northbrook, IL 60062-8001
Phone (847) 306-9843
Other providers in Timnath, CO
- Miss Kathleen LLC
- Jennifer Moran
- Mountain Iris Therapy LLC
- Colleen Nelson
- Brian Nguyen
- Amanda Olmstead
- Marilu Orozco-Peterson
- Pediatric Urgent Care of Northern Colorado
- Andrea Philop
- Poudre Valley Medical Group, LLC
All providers in Timnath, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2020. 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.