Dorriona Klomhaus

Individual provider Active NPI Behavior Technician · Daleville, IN

NPI 1336075217 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1336075217
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9301 S Innovation Dr
Daleville, IN 47334-9516
Phone
(574) 387-4313
NPI assigned
Jun 19, 2026
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 Yes

Addresses

Primary practice location

9301 S Innovation Dr
Daleville, IN 47334-9516

Mailing address

1827 E Ireland Rd
South Bend, IN 46614-2845

Other providers in Daleville, IN

All providers in Daleville, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.