Haley Char Niederman

Individual provider Active NPI Behavior Technician · Burlington, KY

NPI 1740136902 · NPPES record last updated Mar 9, 2026

Key facts

NPI
1740136902
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
24-358628 (KY)
Practice address
4830 Burlington Pike
Burlington, KY 41005-8685
Phone
(859) 638-3387
NPI assigned
Mar 9, 2026
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

LicenseStateTypeSpecialty
24-358628KYMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24-358628 KY Yes

Addresses

Primary practice location

4830 Burlington Pike
Burlington, KY 41005-8685

Mailing address

4830 Burlington Pike
Burlington, KY 41005-8685
Phone (859) 638-3387

Other providers in Burlington, KY

All providers in Burlington, KY · Behavior Technician in Kentucky

Sources for this page

Verify at the official NPI Registry.