Elizabeth Maynard
Individual provider Active NPI Behavior Technician · Alvaton, KY
NPI 1730923905 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1730923905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 508 Marblegate Cir
Alvaton, KY 42122-8751 - Phone
- (954) 629-3805
- NPI assigned
- Jun 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
508 Marblegate Cir
Alvaton, KY 42122-8751
Mailing address
508 Marblegate Cir
Alvaton, KY 42122-8751
Phone (954) 629-3805
Other providers in Alvaton, KY
- Aimee Hockman
- Rachel L. Holton
- Lori Ann Humbert
- Anthony N. Jackson
- Phillip A Kissinger
- Jonathan Bennett McNabb
- Dennie Morrison Jr.
- Rebecca O'Bryan
- Kousalya Odom
- Alicia Owens
All providers in Alvaton, 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 Mar 4, 2025. 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.