Kimberlee Anderson
Individual provider Active NPI Behavior Technician · Harlan, IA
NPI 1194491563 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1194491563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1110 Morningview Dr
Harlan, IA 51537-2013 - Phone
- (712) 755-5056
- NPI assigned
- Aug 17, 2021
- 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
1110 Morningview Dr
Harlan, IA 51537-2013
Mailing address
1213 Garfield Ave
Harlan, IA 51537-2057
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. 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.