BRANDI TEBO NPI 1356065403

NPI Information

NPI: 1356065403
Provider Name: BRANDI TEBO
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Individual
Address:
12265 JAMES ST
HOLLAND, MI
ZIP 49424
Phone: (616) 393-5698
Get Directions

Brandi Tebo is a day training habilitation specialist in Holland, MI. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Brandi Tebo NPI is 1356065403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12265 JAMES ST
HOLLAND, MI
ZIP 49424-613
Phone: (616) 393-5698

The enumeration date for this NPI number is 10/3/2022 and was last updated on 10/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	373H00000X	Day Training/Habilitation Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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