Renee Grote

Individual provider Active NPI Behavior Technician · Burlington, KY

NPI 1689240277 · NPPES record last updated Jun 3, 2021

Key facts

NPI
1689240277
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6215 Kingsgate Dr
Burlington, KY 41005-9284
Phone
(513) 600-0615
NPI assigned
Jun 3, 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 KY
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6215 Kingsgate Dr
Burlington, KY 41005-9284

Mailing address

1130 Boone Aire Rd
Burlington, KY 41005

Other providers in Burlington, KY

All providers in Burlington, KY · Behavior Technician in Kentucky

Sources for this page

Verify at the official NPI Registry.