Kelly Lea Darter
Individual provider Active NPI Behavior Technician · Murphy, TX
NPI 1104428507 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1104428507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 152 Brand Ste 200
Murphy, TX 75094-3748 - Phone
- (499) 596-6710
- NPI assigned
- Nov 10, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
152 Brand Ste 200
Murphy, TX 75094-3748
Mailing address
152 Brand Ste 200
Murphy, TX 75094-3748
Phone (499) 596-6710
Other providers in Murphy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 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.