McKenna Olivia Deatley
Individual provider Active NPI Behavior Technician · Kingman, IN
NPI 1174399653 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1174399653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2700 E Limepit Rd
Kingman, IN 47952-8030 - Phone
- (765) 749-2763
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jax Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2700 E Limepit Rd
Kingman, IN 47952-8030
Mailing address
2700 E Limepit Rd
Kingman, IN 47952-8030
Phone (765) 749-2763
Other providers in Kingman, IN
- Binder Chiropractic Group LLC
- Anna Kay Binder
- Curtis Lawrence Binder
- Jermaine C Boyd
- Child-Adult Resource Services, Inc.
- Jax Services, LLC
- Janeesa Jones-Berkey
- Guadalupe Bernice McDonald
- Angel S Sutcliffe
- Karis White
All providers in Kingman, 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 Nov 27, 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.