Lillian Marie Ervin
Individual provider Active NPI Behavior Technician · Russell, KS
NPI 1598533663 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1598533663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 971 E Wichita Ave
Russell, KS 67665-2444 - Phone
- (785) 377-4744
- NPI assigned
- Dec 18, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
971 E Wichita Ave
Russell, KS 67665-2444
Mailing address
971 E Wichita Ave
Russell, KS 67665-2444
Phone (785) 377-4744
Other providers in Russell, KS
- Samantha Driscoll
- DRS Glenn & Glenn Inc
- DRS Glenn and Glenn Inc
- Kyle Ray Drummond
- Isaiah Christopher Edmonds
- Eugene M. Davidson, D.C.P.a.
- Megan Annika Flavin
- Bernadette M Franks
- Morgan April Galliart
- Carleen Kay Gilmore
All providers in Russell, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. 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.