Carrie Cervantes, RBT
Individual provider Active NPI Behavior Technician · Paola, KS
NPI 1134041791 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1134041791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 25-493072 (KS)
- Practice address
- 100 Lakemary Dr
Paola, KS 66071-1855 - Phone
- (913) 359-0934
- Fax
- (913) 359-0934
- NPI assigned
- Jul 27, 2026
- 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 | 25-493072 | KS | Yes |
Addresses
Primary practice location
100 Lakemary Dr
Paola, KS 66071-1855
Mailing address
100 Lakemary Dr
Paola, KS 66071-1855
Phone (913) 359-0934
Other providers in Paola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. 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.