Kurtis Beeman
Individual provider Active NPI Behavior Technician · Lebanon, IN
NPI 1215748017 · NPPES record last updated Jan 20, 2025
Key facts
- NPI
- 1215748017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 110 Birchwood Dr
Lebanon, IN 46052-2707 - Phone
- (765) 481-2260
- NPI assigned
- Jan 20, 2025
- Sex
- Male
- 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
110 Birchwood Dr
Lebanon, IN 46052-2707
Mailing address
110 Birchwood Dr
Lebanon, IN 46052-2707
Phone (765) 481-2260
Other providers in Lebanon, IN
- Breanna M Bandy
- Nikki K Barnes
- Sharon Lucas Barr
- Elizabeth Anne Bartlett
- Briana Becerril
- Kara Dian Bell
- Victoria Belton
- Misha Bennett
- Skye Berger
- Dana Lynn Bettenhausen
All providers in Lebanon, 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 Jan 20, 2025. 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.