Michelle Flores

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-169306 Issued in NU

Practice address

14B Marshellen Dr
Beaufort, SC 29902-6900

Phone

(843) 400-4581

Fax

(843) 400-4024

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boost Behavioral Services LLC

  • Behavior Analyst
  • Beaufort, SC
  • NPI 1912510074
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1760057251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 JAMES ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025324",
            "telephone_number": "843-400-4581",
            "fax_number": "843-400-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14B MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-400-4581",
            "fax_number": "843-400-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-21-169306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Wilson Ferry, DDS
• Tammy Melissa Figueroa
• Megan Fisher
• Taryn Fisher
• Alyssa Marie Flecha
• Brett Guy Flowers, RPH
• John Craig Floyd, M.D.
• Joseph H Floyd, M.D.
• Alison Fluharty, OTR/L
• John Fontana, MD

• Behavior Technician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.