Tawnya Butler

Individual provider Active NPI Behavior Technician · Cameron, NC

NPI 1487328753 · NPPES record last updated Aug 2, 2021

Key facts

NPI
1487328753
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
185 Mittie Haddock Dr
Cameron, NC 28326-9379
Phone
(800) 991-6070
NPI assigned
Aug 2, 2021
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

185 Mittie Haddock Dr
Cameron, NC 28326-9379

Mailing address

300 International Pkwy
Lake Mary, FL 32746-5035
Phone (866) 610-0580

Other providers in Cameron, NC

All providers in Cameron, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.