Raegan Perkins

Individual provider Active NPI Behavior Technician · Owenton, KY

NPI 1376453035 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1376453035
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
130 Cecil LN
Owenton, KY 40359-8519
Phone
(502) 514-5480
NPI assigned
Sep 8, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

130 Cecil LN
Owenton, KY 40359-8519

Mailing address

130 Cecil LN
Owenton, KY 40359-8519

Other providers in Owenton, KY

All providers in Owenton, KY · Behavior Technician in Kentucky

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.

Verify at the official NPI Registry.