Marlie Loomis
Individual provider Active NPI Behavior Technician · Sitka, AK
NPI 1649026642 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1649026642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 113 Metlakatla St
Sitka, AK 99835-7666 - Phone
- (907) 747-3636
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sitka Counseling & Prevention Services, Inc. | Current |
Accepting new patients | |
| Sitka Counseling & Prevention Services, Inc. | Current |
Accepting new patients |
Locations
113 Metlakatla St
Sitka, AK 99835
Phone (907) 747-1417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
113 Metlakatla St
Sitka, AK 99835-7666
Mailing address
113 Metlakatla St
Sitka, AK 99835-7666
Phone (907) 747-3636
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. 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.