Chantel Allen, RBT
Individual provider Active NPI Behavior Technician · Bloomington, IN
NPI 1366039745 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1366039745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-20-140957 (IN)
- Practice address
- 450 S Landmark Ave
Bloomington, IN 47403-5000 - Phone
- (812) 269-3214
- Fax
- (317) 520-8200
- NPI assigned
- Dec 31, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-140957 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-140957 | IN | Yes |
Addresses
Primary practice location
450 S Landmark Ave
Bloomington, IN 47403-5000
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Bloomington, IN
- Jerome Jay Alib
- Align Missions Inc
- Allan Mackay MD PC
- Allcares, Inc-Waiver
- Allcares, Inc.
- Jeffrey Todd Allen
- Kara Ann Allen
- Laurie Susan Allen
- Mary Allen
- Ruth Ann Allen
All providers in Bloomington, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. 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.