Kristen Nicole Dannettel
Individual provider Active NPI Behavior Technician · Upperco, MD
NPI 1326791997 · NPPES record last updated Feb 2, 2022
Key facts
- NPI
- 1326791997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 23 Thomas Shilling CT
Upperco, MD 21155-9334 - Phone
- (410) 720-9337
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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
23 Thomas Shilling CT
Upperco, MD 21155-9334
Mailing address
23 Thomas Shilling CT
Upperco, MD 21155-9334
Phone (410) 720-9337
Other providers in Upperco, MD
- Lucinda Cham
- Caroline Clancy
- Elizabeth Clark
- Leslie Ann Coleman
- Katrice Sade Crowner
- Corey L Danzy
- Oluwayemisi Dehinbo
- Jordan Deutsch
- Jennifer Engler
- Freedom Ambulance
All providers in Upperco, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 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.