Michaela Marie Diemer
Individual provider Active NPI Behavior Technician · Delran, NJ
NPI 1609665496 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1609665496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 255 Rosebay CT
Delran, NJ 08075-2881 - Phone
- (856) 531-6766
- NPI assigned
- May 6, 2025
- 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
255 Rosebay CT
Delran, NJ 08075-2881
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (856) 531-6766
Other providers in Delran, NJ
- Delran Internal Medicine LLC
- Delran Pharmacy
- Delran Township School District
- Destiny Supportive Services
- Carli Dicioccio
- Jennifer Leigh Digney
- Annabelle Bello Dimapilis
- Nadia Din
- Erin Dinisio
- Candra Chanae Dodd-Jenkins
All providers in Delran, NJ · Behavior Technician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. 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.