Marie Middleton, PHD
Individual provider Active NPI Behavior Analyst · Missoula, MT
NPI 1750831533 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1750831533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-15-20883 (MT)
- Practice address
- 1722 Defoe St
Missoula, MT 59802-1915 - Phone
- (406) 370-9260
- NPI assigned
- Oct 5, 2016
- 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
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-20883 | MT | Yes |
Addresses
Primary practice location
1722 Defoe St
Missoula, MT 59802-1915
Mailing address
2545 1/2 Park St
Missoula, MT 59801-8052
Phone (406) 370-9260
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 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.