Kimberly Kay Bredberg-Beaner, BCBA
Individual provider Active NPI Behavior Analyst · Miles City, MT
NPI 1346847779 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1346847779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- PSY-BA-LIC-3394 (MT)
- Practice address
- 2200 Box Elder St Ste 151
Miles City, MT 59301-5930 - Phone
- (406) 234-6034
- NPI assigned
- Oct 8, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-BA-LIC-3394 | MT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | PSY-BA-LIC-3394 | MT | Yes |
Addresses
Primary practice location
2200 Box Elder St Ste 151
Miles City, MT 59301-5930
Mailing address
210 N Custer Ave
Miles City, MT 59301-2722
Phone (140) 951-2562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-20-45009 | Other | BACB |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbeaner@deapmt.org | Direct |
Other providers in Miles City, MT
- Bighorn Valley Health Center, Incorporated
- Bighorn Valley Health Center, Incorporated
- Billings Clinic
- Billings Clinic
- Ava Kay Boschee
- Michael Bricco
- Mary Louise Brockway
- Daniel C Brooke
- Robert Lee Brugger
- Samantha Rae Bryan
All providers in Miles City, MT · Behavior Analyst in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. 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.