Ember Michelle Tisdale

Behavior Technician · Jerome, ID

Individual Active NPI

NPI number 1740010255

Practice location

130 S Lincoln Ave
Jerome, ID 83338-2631
Phone
(208) 944-4679
Fax
(208) 944-4679

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NPI record

NPI
1740010255
Entity type
Individual (Type 1)
Enumeration date
August 7, 2024
Last updated
August 7, 2024
Certified
August 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Ember Tisdale

Ember Michelle Tisdale is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 130 S Lincoln Ave, Jerome, ID 83338-2631. The NPI number 1740010255 was assigned on August 7, 2024 and the record was last updated on August 7, 2024.

Frequently asked questions

What is the NPI number of Ember Michelle Tisdale?

The NPI number is 1740010255.

What is the phone number of Ember Tisdale?

The phone number listed for the practice location is (208) 944-4679.

Where is Ember Tisdale located?

130 S Lincoln Ave, Jerome, ID 83338-2631.

What is the taxonomy code for Ember Tisdale?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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