Tiffany Lacourse
Individual provider Active NPI Behavior Technician · Standish, MI
NPI 1831950328 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1831950328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3727 Deep River Rd
Standish, MI 48658-9458 - Phone
- (989) 423-0971
- NPI assigned
- Jan 22, 2024
- 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
3727 Deep River Rd
Standish, MI 48658-9458
Mailing address
2521 N Elms Rd
Flushing, MI 48433-9423
Phone (866) 498-3909
Other providers in Standish, MI
- Kaitlyn Emily Kokaly
- Trisha Koontz
- Aaron Joseph Korczowski
- Victoria Kraatz
- Chelsey Kreil
- Jeannine Lalonde
- Kristin A Lance
- Macy Marie Larente
- Shannon Layton
- Sydney L Learman
All providers in Standish, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. 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.