Macie Adams
Individual provider Active NPI Behavior Technician · Goshen, IN
NPI 1952106296 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1952106296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-404243 (IN)
- Practice address
- 511 W Lincoln Ave
Goshen, IN 46526-2430 - Phone
- (574) 387-4313
- Fax
- (574) 204-2868
- NPI assigned
- Feb 19, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-404243 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-404243 | IN | Yes |
Addresses
Primary practice location
511 W Lincoln Ave
Goshen, IN 46526-2430
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Phone (574) 387-4313
Other providers in Goshen, IN
- 2 Sparrows Counseling
- A Mindful Reset, PC
- Aaron Detwiler Counseling PC
- Kimberlee Lynn Acton
- Cynthia K Adam
- Addiction Recovery Centers of Indiana, Incorporated
- Adec - Goshen Men
- Adec - Hawthorne
- Adec - Terrace Park
- Adec Inc - Ashley Court
All providers in Goshen, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. 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.