Michelle Wood
Behavior Technician in Round Rock, TX. Individual provider (NPI-1).
NPI number1215519442
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1215519442
- Entity type
- Individual (NPI-1)
- Name
- Michelle Wood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2021
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
170 Deep Wood Dr Ste 104Round Rock, TX 78681-4949
Phone 855-782-7822
Mailing address
170 Deep Wood Dr Ste 104Round Rock, TX 78681-4949
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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