Kelsey McComb

Individual provider Active NPI Behavior Technician · Mitchell, IN

NPI 1043023476 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1043023476
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1309 W Main St
Mitchell, IN 47446-1255
Phone
(812) 329-4155
NPI assigned
Jan 29, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1309 W Main St
Mitchell, IN 47446-1255

Mailing address

1309 W Main St
Mitchell, IN 47446-1255
Phone (812) 329-4155

Other providers in Mitchell, IN

All providers in Mitchell, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.