Tina Wiskerchen
Individual provider Active NPI Behavior Technician · Wendover, NV
NPI 1518668656 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1518668656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 632 North Tibbets BLV
Wendover, NV 89883 - Phone
- (435) 840-2924
- NPI assigned
- Mar 15, 2023
- 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
632 North Tibbets BLV
Wendover, NV 89883
Mailing address
632 North Tibbets BLV
Wendover, NV 89883
Other providers in Wendover, NV
All providers in Wendover, NV · Behavior Technician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 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.