Kenzie Mauro, RBT
Individual provider Active NPI Behavior Technician · Pendleton, IN
NPI 1083588263 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1083588263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 600 Corporation Dr
Pendleton, IN 46064-8610 - Phone
- (765) 587-5244
- NPI assigned
- Oct 1, 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
600 Corporation Dr
Pendleton, IN 46064-8610
Mailing address
4105 N Walnut St
Muncie, IN 47303-5904
Other providers in Pendleton, IN
- Julienne Elaine Leyva
- Richard Long
- Luma Home Healthcare LLC
- Marsh Drugs LLC
- Vicki Carol Masterson
- Brittnee McCance
- Stacy McCarthy
- Michael Meng
- Dennis Joseph Meyer
- Albert Orville Miller III
All providers in Pendleton, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 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.