Mariana Amezcua

Individual provider Active NPI Behavior Technician · Munster, IN

NPI 1942014162 · NPPES record last updated Mar 19, 2025

Key facts

NPI
1942014162
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10419 Calumet Ave Ste B
Munster, IN 46321-4059
Phone
(219) 301-9715
NPI assigned
Feb 6, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

10419 Calumet Ave Ste B
Munster, IN 46321-4059

Mailing address

10419 Calumet Ave Ste B
Munster, IN 46321-4059
Phone (219) 301-9715

Other providers in Munster, IN

All providers in Munster, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.