Hilary Antoine
Individual provider Active NPI Behavior Technician · Cordova, TN
NPI 1710692421 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1710692421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328 - Phone
- (901) 509-8347
- NPI assigned
- Jan 17, 2023
- 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
1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328
Mailing address
1727 N Germantown Pkwy Ste 107
Cordova, TN 38016-3328
Phone (901) 509-8347
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All providers in Cordova, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 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.