Elaina Camerlynck
Individual provider Active NPI Behavior Technician · Grain Valley, MO
NPI 1508601139 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1508601139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-357137 (MO)
- Practice address
- 105 SW Eagles Pkwy
Grain Valley, MO 64029-8512 - Phone
- (816) 265-1170
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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-24-357137 | MO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cwo Enterprises | Current |
Accepting new patients |
Locations
105 SW Eagles Pkwy
Grain Valley, MO 64029
Phone (816) 265-1170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-357137 | MO | Yes |
Addresses
Primary practice location
105 SW Eagles Pkwy
Grain Valley, MO 64029-8512
Mailing address
105 SW Eagles Pkwy
Grain Valley, MO 64029-8512
Phone (816) 265-1170
Other providers in Grain Valley, MO
- Emma Brown
- Troy H Brown
- Anna Brynac
- Kaci Burke
- Danette Rae Butler
- Morgn Shae Canterbury
- Caring Hands Residential
- Carondelet Physician Services, Inc.
- Shayron Carr
- Monica R Carrier
All providers in Grain Valley, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. 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.