Sydney Rose Keim

Individual provider Active NPI Behavior Technician · Spicewood, TX

NPI 1558032029 · NPPES record last updated Sep 24, 2021

Key facts

NPI
1558032029
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
19019 State Highway 71 W
Spicewood, TX 78669-6468
Phone
(254) 732-2262
NPI assigned
Sep 24, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X TX Yes

Addresses

Primary practice location

19019 State Highway 71 W
Spicewood, TX 78669-6468

Mailing address

620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262

Other providers in Spicewood, TX

All providers in Spicewood, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.