Kimberly Burnell
Individual provider Active NPI Behavior Technician · Manchester, MO
NPI 1205337169 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1205337169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14368 Manchester Rd Ste 250
Manchester, MO 63011-4293 - Phone
- (636) 438-0360
- NPI assigned
- Feb 26, 2018
- 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
14368 Manchester Rd Ste 250
Manchester, MO 63011-4293
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345
Other providers in Manchester, MO
- Richard Biesiadecki
- Brad McMillin, Inc
- Maria Brandt
- Roy Edward Brown Jr.
- Bryan Watanabe DDS Manchester Dental Group, PC
- Emily Hohn Busch
- Rosemarie Ann Buza
- Kristen Ann Campbell
- David W Candy
- Care for You Home Care LLC
All providers in Manchester, 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 Feb 26, 2018. 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.