Stephen Barlaam, MPS, RBT
Individual provider Active NPI Behavior Technician · Kyle, TX
NPI 1497399554 · NPPES record last updated Nov 1, 2019
Key facts
- NPI
- 1497399554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-80523 (TX)
- Practice address
- 4221 Benner
Kyle, TX 78640-2220 - Phone
- (512) 596-4883
- NPI assigned
- Nov 1, 2019
- Sex
- Male
- 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-19-80523 | TX | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-80523 | TX | Yes |
Addresses
Primary practice location
4221 Benner
Kyle, TX 78640-2220
Mailing address
4221 Benner
Kyle, TX 78640-2220
Phone (512) 596-4883
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2019. 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.