Molly Balmer
Individual provider Active NPI Behavior Technician · Mt Juliet, TN
NPI 1811596604 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1811596604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2138 Fawns Creek Xing
Mt Juliet, TN 37122-1207 - Phone
- (312) 965-2997
- NPI assigned
- Oct 22, 2020
- 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
2138 Fawns Creek Xing
Mt Juliet, TN 37122-1207
Mailing address
306 N Kensington Ave
La Grange Park, IL 60526-1870
Other providers in Mt Juliet, TN
- Asia Bailey Mitchell
- Michele Davis Bailey
- Linda Baird
- Balance Point Wellness, LLC
- Sydney Rhian Ballard
- Seth B Banks
- Earl James Barber II
- Jessica Paige Barnes
- Jennifer Bartley
- Elizabeth Bartolomeo
All providers in Mt Juliet, 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 Oct 22, 2020. 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.