Brenda Avilla

Individual provider Active NPI Behavior Technician · Junction City, KS

NPI 1053926402 · NPPES record last updated Sep 12, 2020

Key facts

NPI
1053926402
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
924 W 6TH St
Junction City, KS 66441-3229
Phone
(785) 256-9096
NPI assigned
Sep 12, 2020
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

924 W 6TH St
Junction City, KS 66441-3229

Mailing address

924 W 6TH St
Junction City, KS 66441-3229
Phone (785) 256-9096

Other providers in Junction City, KS

All providers in Junction City, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.