Michelle Brickhouse, RBT
Individual provider Active NPI Behavior Technician · Perry, GA
NPI 1811698673 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1811698673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-233612 (GA)
- Practice address
- 1603 Macon Rd
Perry, GA 31069-4400 - Phone
- (860) 930-1973
- NPI assigned
- Mar 16, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-233612 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-233612 | GA | Yes |
Addresses
Primary practice location
1603 Macon Rd
Perry, GA 31069-4400
Mailing address
1603 Macon Rd
Perry, GA 31069-4400
Phone (860) 930-1973
Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 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.