Ladonna Atherton

Individual provider Active NPI Behavior Technician · Newburgh, IN

NPI 1295567485 · NPPES record last updated Aug 15, 2024

Key facts

NPI
1295567485
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-368112 (IN)
Practice address
4655 Rosebud LN
Newburgh, IN 47630-9366
Phone
(812) 213-8031
Fax
(317) 520-8200
NPI assigned
Aug 15, 2024
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

State licenses

LicenseStateTypeSpecialty
RBT-24-368112INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-368112 IN Yes

Addresses

Primary practice location

4655 Rosebud LN
Newburgh, IN 47630-9366

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other providers in Newburgh, IN

All providers in Newburgh, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.