Dawson Gross
Individual provider Active NPI Behavior Technician · Henderson, KY
NPI 1750153599 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1750153599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-303350 (IN)
- Practice address
- 724 Barret Blvd Ste a
Henderson, KY 42420-4931 - Phone
- (270) 827-4652
- NPI assigned
- Oct 25, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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-23-303350 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Minds Learning Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-303350 | IN | Yes |
Addresses
Primary practice location
724 Barret Blvd Ste a
Henderson, KY 42420-4931
Mailing address
PO Box 931142
Atlanta, GA 31193-1142
Other providers in Henderson, KY
- Green River Oral Surgery
- Michael Joel Greene
- Kathryn Dru Greenwell Perkins
- Chelsey C. Gregory
- Justin Matthew Greubel
- Derek Lee Groves
- Amanda Gunn
- Kerry Conrad Gusler
- Gregory Brent Hagedorn
- Michael R Hagerman
All providers in Henderson, 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 25, 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.