Adam Crotty
Individual provider Active NPI Behavior Technician · Russell, KS
NPI 1265171995 · NPPES record last updated Dec 6, 2022
Key facts
- NPI
- 1265171995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 971 E Wichita Ave
Russell, KS 67665-2444 - Phone
- (402) 252-8787
- NPI assigned
- Jun 1, 2022
- 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
971 E Wichita Ave
Russell, KS 67665-2444
Mailing address
971 E Wichita Ave
Russell, KS 67665-2444
Phone (402) 252-8787
Other providers in Russell, KS
- Zitziken Lucia Coreas
- County of Russell
- County of Russell
- Mikayla Jean Craver
- Holly Marie Creamer
- Custom Care of Ellsworth, Inc
- Eugene Merle Davidson
- Emily J Decker
- Holly Christina Decker
- Developmental Services of Northwest Kansas, Inc.
All providers in Russell, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2022. 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.