Caroline Maureen Loomis, BEHAVIOR TECHNICIAN
Individual provider Active NPI Behavior Technician · Chesaning, MI
NPI 1457066268 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1457066268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 202 Pine St
Chesaning, MI 48616-1252 - Phone
- (989) 323-2090
- NPI assigned
- Jan 16, 2023
- 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
202 Pine St
Chesaning, MI 48616-1252
Mailing address
202 Pine St
Chesaning, MI 48616-1252
Phone (989) 323-2090
Other providers in Chesaning, MI
- Julia Lewis
- Karlie Lewis
- Victoria Fay Lickman
- Amber Linton-Sutherby
- Hunter Tylo Liskowycz
- Autumn Bobby Mahoney
- Sarah Frances Mahoney
- Whitney Mankins
- Tiffany Eva Martin
- Martins Rural Care Services LLC
All providers in Chesaning, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. 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.