Kendra Thrasher, RBT
Individual provider Active NPI Behavior Technician · Avon, IN
NPI 1003629908 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1003629908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5250 E US Highway 36
Avon, IN 46123-9771 - Phone
- (317) 815-5501
- NPI assigned
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5250 E US Highway 36
Avon, IN 46123-9771
Mailing address
4526 Iowa St
Clayton, IN 46118-9079
Phone (317) 603-7259
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.