Molly J Degroff
Individual provider Active NPI Behavior Technician · Cheboygan, MI
NPI 1962210047 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1962210047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1115 E State St
Cheboygan, MI 49721-2124 - Phone
- (231) 268-0007
- NPI assigned
- Dec 20, 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
1115 E State St
Cheboygan, MI 49721-2124
Mailing address
6753 Barclay Ave
Onaway, MI 49765-8791
Phone (269) 414-8290
Other names
- Molly J Martin
Other providers in Cheboygan, MI
- Richard Crawford
- Michele Lynn Creech
- Amber Marie Cronk
- Daniel K Wilcox MD PC
- Jeanetta M Dawson
- Paula K Dekeyser
- Lynette Depeter-Schulz
- Debra Mae Diekman
- Constance Laday Dinner
- Doctors Services Inc
All providers in Cheboygan, 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 Dec 20, 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.