Christina Boehlke, RBT
Individual provider Active NPI Behavior Technician · Mills, WY
NPI 1831740992 · NPPES record last updated Sep 20, 2019
Key facts
- NPI
- 1831740992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-98187 (WY)
- Practice address
- 945 Pendell Blvd
Mills, WY 82644-1916 - Phone
- (605) 271-2960
- Fax
- (605) 271-3956
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- 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-19-98187 | WY | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Care Specialists, Inc | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-98187 | WY | Yes |
Addresses
Primary practice location
945 Pendell Blvd
Mills, WY 82644-1916
Mailing address
2804 E 26TH St Ste 1
Sioux Falls, SD 57103-4019
Phone (605) 271-2690
Other providers in Mills, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. 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.