Crystal Lee Anne Blech

Individual provider Active NPI Behavior Technician · Piedmont, MO

NPI 1376265405 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1376265405
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5 Sugar Creek Rd
Piedmont, MO 63957-9607
Phone
(573) 223-7649
NPI assigned
Sep 15, 2022
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
Family Counseling Center, Inc. Past
since Sep 20, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5 Sugar Creek Rd
Piedmont, MO 63957-9607

Mailing address

5 Sugar Creek Rd
Piedmont, MO 63957-9607
Phone (573) 223-7649

Other providers in Piedmont, MO

All providers in Piedmont, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.