Michela Beaulier, RBT

Individual provider Active NPI Behavior Technician · Saint Petersburg, FL

NPI 1982429635 · NPPES record last updated Nov 18, 2024

Key facts

NPI
1982429635
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-393853 (FL)
Practice address
3375 34TH St N Ste 206
Saint Petersburg, FL 33713-2400
Phone
(727) 643-0011
Fax
(727) 231-9655
NPI assigned
Nov 18, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-393853FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Change Corp Current
since Nov 24, 2024
Accepting new patients

Locations

3375 34th St N
Ste 206
Saint Petersburg, FL 33713
Phone (727) 231-0011

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-393853 FL Yes

Addresses

Primary practice location

3375 34TH St N Ste 206
Saint Petersburg, FL 33713-2400

Mailing address

3375 34TH St N Ste 206
Saint Petersburg, FL 33713-2400
Phone (727) 643-0011

Other providers in Saint Petersburg, FL

All providers in Saint Petersburg, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.