Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ember Michelle Tisdale

Individual provider Behavior Technician · NPI 1740010255

MS. Ember Michelle Tisdale is a Behavior Technician in Jerome, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

130 S Lincoln Ave
Jerome, ID 83338-2631
Phone: (208) 944-4679
Fax: (208) 944-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1740010255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address130 S Lincoln Ave, Jerome, ID 83338-2631

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