Kynleigh Mari Wendell
Individual provider Active NPI Behavior Technician · Masonic Home, KY
NPI 1700522190 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1700522190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-221657 (KY)
- Practice address
- 3761 Johnson Hall Dr
Masonic Home, KY 40041-9998 - Phone
- (502) 293-1695
- NPI assigned
- May 9, 2022
- 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-22-221657 | KY | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-221657 | KY | Yes |
Addresses
Primary practice location
3761 Johnson Hall Dr
Masonic Home, KY 40041-9998
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other providers in Masonic Home, KY
- Kelly Anne Scott
- Caroline Louise Spicker
- Joshua Gene Stephens
- Joanna Still
- Natalie Jane Tinsley
- Arusso Wesley Whalen
- Emma Williams
- Karen Michelle Williams
- Frances Remy Wilson
- Julie Wood
All providers in Masonic Home, KY · Behavior Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 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.