Kelsi Leah Ann Vickers
Individual provider Active NPI Behavior Technician · Ellington, MO
NPI 1164296299 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1164296299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 315 E Walnut St
Ellington, MO 63638-7943 - Phone
- (573) 663-2644
- NPI assigned
- Nov 9, 2023
- 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
315 E Walnut St
Ellington, MO 63638-7943
Mailing address
315 E Walnut St
Ellington, MO 63638-7943
Phone (573) 663-2644
Other providers in Ellington, MO
- Southeast Health Center of Reynolds County, LLC
- Southeast Health Center of Reynolds County, LLC
- Southeast Health Center of Reynolds LLC
- Southern Reynolds Rii
- Joyce Anne Stout
- Evelyn D Walberg
- Cheryl Renee White
- Tasha Lynn Wisdom
All providers in Ellington, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. 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.