Kisha Mary Allen
Individual provider Active NPI Behavior Technician · Indianapolis, IN
NPI 1659997997 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1659997997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-59987 (IN)
- Practice address
- 6925 Parkdale PL
Indianapolis, IN 46254-4673 - Phone
- (317) 597-4553
- Fax
- (317) 520-8200
- NPI assigned
- Jun 23, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-59987 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-59987 | IN | Yes |
Addresses
Primary practice location
6925 Parkdale PL
Indianapolis, IN 46254-4673
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Indianapolis, IN
- Janey J. Allen
- Jason W Allen
- Jayme D Allen
- Keely Allen
- Kelley R. Allen
- Krista Rath Allen
- Megan Allen
- Michael Allen
- Mikyla Ann Allen
- Morgan Allen
All providers in Indianapolis, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2020. 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.