Elise Dashae Anderson, BA, RBT
Individual provider Active NPI Behavior Technician · Bowling Green, KY
NPI 1720849201 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1720849201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-305260
- Practice address
- 2427 Russellville Rd
Bowling Green, KY 42101-3980 - Phone
- (270) 936-7472
- Fax
- (317) 520-8200
- NPI assigned
- Jan 22, 2024
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-305260 | Yes |
Addresses
Primary practice location
2427 Russellville Rd
Bowling Green, KY 42101-3980
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Bowling Green, KY
- Anam Cara, LLC
- Anderson Aesthetics and Reconstructive Surgery PLLC
- Amelia Jane Anderson-Mooney
- Anastasia Grace Anderson
- Asia Anderson
- Lauren Anderson
- Nancy Anderson
- Nikki Lynn Anderson
- Stephanie Anderson
- Tina Anderson
All providers in Bowling Green, 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 Jan 22, 2024. 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.