Rebecca Kaylyn Krenzke

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-21-11988 Issued in IN

Practice address

1353 E Main St
Brownsburg, IN 46112-1433

Phone

(317) 520-4748

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1396400214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DOVETREE DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461225500",
            "telephone_number": "248-802-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121433",
            "telephone_number": "317-520-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZKE",
        "first_name": "REBECCA",
        "middle_name": "KAYLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "IN",
            "license": "0-21-11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney Koles, RBT
• Shauntaysa Kopp
• Allison Kozinski, OTR/L
• Katelyn Kozma, BCBA
• Michael L Kramer, MD
• Kroger Limited Partnership I (Kroger Pharmacy)
• Jared Krug, PHARMD
• Jordan Kruml, RBT
• Maisie Kuzee-Baumis
• Primavera Anndera Ladd, FNP-BC

• Assistant Behavior Analyst in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Assistant Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.