Mercedes Lynn Allen

Individual provider Active NPI Behavior Technician · Youngstown, OH

NPI 1780401372 · NPPES record last updated Sep 24, 2024

Key facts

NPI
1780401372
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-324092 (OH)
Practice address
1051 Tiffany S
Youngstown, OH 44514-1977
Phone
(330) 629-2955
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-324092OHMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Center for Childhood Development Current
since Sep 29, 2024
Accepting new patients
Absolute Behavior Health Care LLC Current
since Sep 29, 2024
Accepting new patients

Locations

7423 Tiffany S
Youngstown, OH 44514
Phone (330) 629-2955

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-324092 OH Yes

Addresses

Primary practice location

1051 Tiffany S
Youngstown, OH 44514-1977

Mailing address

1051 Tiffany S
Youngstown, OH 44514-1977

Other providers in Youngstown, OH

All providers in Youngstown, OH · Behavior Technician in Ohio

Sources for this page

Verify at the official NPI Registry.