Steve W Gensburg
Individual provider Active NPI Behavior Technician · Kent, OH
NPI 1063017341 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1063017341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 736 W Main St
Kent, OH 44240-2225 - Phone
- (330) 842-0339
- NPI assigned
- Dec 3, 2020
- Sex
- Male
- 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
736 W Main St
Kent, OH 44240-2225
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Phone (330) 673-1347
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. 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.