Kristen Baxley
Individual provider Active NPI Behavior Technician · Centerville, OH
NPI 1790284875 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1790284875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 90 Compark Rd Ste D
Centerville, OH 45459-4982 - Phone
- (937) 952-6379
- NPI assigned
- Feb 5, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
90 Compark Rd Ste D
Centerville, OH 45459-4982
Mailing address
90 Compark Rd Ste D
Centerville, OH 45459-4982
Phone (937) 952-6379
Other providers in Centerville, OH
- Amy Barchek
- Stephanie Jo Bare
- Ariana Amor Bates
- Ashley Baughman
- Martha Elizabeth Baumann
- William Nathaniel Baxter
- Desmond Anthony Baynard
- Beacon St. Psychiatry
- James W Bean
- Taylor M Beasley
All providers in Centerville, OH · Behavior Technician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. 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.