Keisha Young
Individual provider Active NPI Behavior Technician · Dale, IN
NPI 1336058346 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1336058346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-26-2847674 (IN)
- Practice address
- 556 S Washington St
Dale, IN 47523 - Phone
- (812) 330-4460
- Fax
- (812) 330-4461
- NPI assigned
- Sep 4, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-26-2847674 | IN | Yes |
Addresses
Primary practice location
556 S Washington St
Dale, IN 47523
Mailing address
4888 S Rogers St
Clear Creek, IN 47426-9201
Phone (812) 330-4460
Other practice location 1
1923 S Liberty Dr
Bloomington, IN 47403-5146
Phone (812) 330-4460
Other providers in Dale, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.