Provider Demographics
NPI:1063174183
Name:TRIPPLET, NATALIE
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:TRIPPLET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 ANTRIM GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-2480
Mailing Address - Country:US
Mailing Address - Phone:678-338-5893
Mailing Address - Fax:
Practice Address - Street 1:185 ANTRIM GLEN DR
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-2480
Practice Address - Country:US
Practice Address - Phone:678-338-5893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician