Halie N Koch

Individual provider Active NPI Behavior Technician · Hardinsburg, KY

NPI 1831703404 · NPPES record last updated Sep 1, 2020

Key facts

NPI
1831703404
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
31 Collard LN
Hardinsburg, KY 40143-4899
Phone
(270) 883-5547
NPI assigned
Sep 1, 2020
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X KY Yes

Addresses

Primary practice location

31 Collard LN
Hardinsburg, KY 40143-4899

Mailing address

100 Affirmed CT
Elizabethtown, KY 42701-4424
Phone (502) 396-2575

Other providers in Hardinsburg, KY

All providers in Hardinsburg, KY · Behavior Technician in Kentucky

Sources for this page

Verify at the official NPI Registry.