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Individual provider Active NPI Behavior Technician · Kempner, TX

NPI 1104787571 · NPPES record last updated May 1, 2026

Key facts

NPI
1104787571
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1647 County Road 3376
Kempner, TX 76539-3677
Phone
(512) 629-9266
NPI assigned
Nov 24, 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 TX Yes

Addresses

Primary practice location

1647 County Road 3376
Kempner, TX 76539-3677

Mailing address

1647 County Road 3376
Kempner, TX 76539-3677
Phone (512) 629-9266

Other providers in Kempner, TX

All providers in Kempner, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.