Kylee Heintz

Individual provider Active NPI Behavior Technician · Rapid City, SD

NPI 1013771237 · NPPES record last updated Feb 8, 2024

Key facts

NPI
1013771237
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-325926 (SD)
Practice address
2465 W Chicago St
Rapid City, SD 57702-2467
Phone
(605) 206-5004
NPI assigned
Feb 8, 2024
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

State licenses

LicenseStateTypeSpecialty
RBT-24-325926SDMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-325926 SD Yes

Addresses

Primary practice location

2465 W Chicago St
Rapid City, SD 57702-2467

Mailing address

2465 W Chicago St
Rapid City, SD 57702-2467
Phone (605) 206-5004

Other providers in Rapid City, SD

All providers in Rapid City, SD · Behavior Technician in South Dakota

Sources for this page

Verify at the official NPI Registry.