Crystal Coleman, RBT

Individual provider Active NPI Behavior Technician · Overland Park, KS

NPI 1235827809 · NPPES record last updated May 1, 2023

Key facts

NPI
1235827809
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-264612
Practice address
7050 W 107TH St Ste 110
Overland Park, KS 66212-1829
Phone
(913) 802-2227
Fax
(913) 273-0235
NPI assigned
May 1, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-264612 Yes

Addresses

Primary practice location

7050 W 107TH St Ste 110
Overland Park, KS 66212-1829

Mailing address

7050 W 107TH St Ste 110
Overland Park, KS 66212-1829
Phone (913) 802-2227

Other providers in Overland Park, KS

All providers in Overland Park, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.