Provider Demographics
NPI:1114734100
Name:BATMAN, MAREN
Entity type:Individual
Prefix:
First Name:MAREN
Middle Name:
Last Name:BATMAN
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 1:1531 HILL CREST AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-1867
Mailing Address - Country:US
Mailing Address - Phone:406-545-9964
Mailing Address - Fax:
Practice Address - Street 1:2060 OVERLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6439
Practice Address - Country:US
Practice Address - Phone:406-651-5700
Practice Address - Fax:406-894-2004
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24-389380106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician