| Management & Behavior Consultants, P. C. | |
|
955 E 8th St Ste 2 Traverse City MI 49686-2785 | |
| (231) 946-0299 | |
| (231) 946-9788 |
| Full Name | Management & Behavior Consultants, P. C. |
|---|---|
| Speciality | Psychologist |
| Location | 955 E 8th St Ste 2, Traverse City, Michigan |
| Authorized Official Name and Position | Roxanne Kay Fall (PRESIDENT) |
| Authorized Official Contact | 2319460299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Management & Behavior Consultants, P. C. 955 E 8th St Ste 2 Traverse City MI 49686-2785 Ph: (231) 946-0299 | Management & Behavior Consultants, P. C. 955 E 8th St Ste 2 Traverse City MI 49686-2785 Ph: (231) 946-0299 |
| NPI Number | 1306071071 |
|---|---|
| Provider Enumeration Date | 05/24/2009 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Medicare PECOS PAC ID | 0446442115 |
|---|---|
| Medicare Enrollment ID | O20101013000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306071071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Roxanne K Fall |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1922130467 PECOS PAC ID: 9931093754 Enrollment ID: I20040212000061 |
| Provider Name | Roxanne K Fall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922130467 PECOS PAC ID: 9931093754 Enrollment ID: I20101013000697 |
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