Brooke Carlson
Individual provider Active NPI Behavior Technician · Oliver Springs, TN
NPI 1922867779 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1922867779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 564 Mahoney Rd
Oliver Springs, TN 37840-1825 - Phone
- (509) 230-9289
- NPI assigned
- Mar 14, 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
564 Mahoney Rd
Oliver Springs, TN 37840-1825
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Oliver Springs, TN
- Nathan Bolton
- Abby Gail Bowling
- Taylor Bridenbaker
- Mary Ruth Browning
- Stefanie Irene Calfee
- Chancey Lynn Cashmore
- Rachel Chandler
- Martha Marie Cox
- Troyal Lynn Craig
- Lanita Debord
All providers in Oliver Springs, 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 Mar 14, 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.