Individual provider · Type 1 NPI
Maria Terasa Van Dyke
Supports Brokerage Agency · Kettering, OH
Practice location
2269 S Dixie Dr
Kettering, OH 45409-2018
Mailing address
1405 Phillips Ave
Dayton, OH 45410-2638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Supports Brokerage Agency Primary | 251X00000X | 251X00000X (OH) |
Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …
About NPI 1992573133
Maria Terasa Van Dyke's National Provider Identifier is 1992573133, issued on Dec 18, 2023. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Kettering, OH. The record was last updated on Dec 18, 2023.