Sandra Michelle Fiebelkorn
Individual provider Active NPI Behavior Technician · Roscommon, MI
NPI 1629620091 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1629620091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 406 Hannah St
Roscommon, MI 48653-8311 - Phone
- (989) 273-9023
- NPI assigned
- Jul 15, 2019
- 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
406 Hannah St
Roscommon, MI 48653-8311
Mailing address
406 Hannah St
Roscommon, MI 48653-8311
Phone (989) 273-9023
Other providers in Roscommon, MI
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- Valerie Louise Doebler
- Gordon Eden
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- Curtis James Edens
- Nicole Katherine Filter
- Constance Sue Geers
- Heather Goodrow
- Nicole Lynn Grace
- Angela Griffis
All providers in Roscommon, 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 Jul 15, 2019. 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.