Zachary Childers, RBT

Individual provider Active NPI Behavior Technician · Lebanon, IN

NPI 1841069440 · NPPES record last updated Dec 22, 2023

Key facts

NPI
1841069440
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-281378 (IN)
Practice address
3850 Whitestown Pkwy
Lebanon, IN 46052-7601
Phone
(317) 520-4748
NPI assigned
Dec 22, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
RBT-23-281378INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC Behavior Technician Current
since Dec 24, 2023
Accepting new patients

Locations

1353 E Main St
Brownsburg, IN 46112
Phone (317) 294-5242

3850 Whitestown Pkwy
Lebanon, IN 46052
Phone 3175204748 ext. 106

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-281378 IN Yes

Addresses

Primary practice location

3850 Whitestown Pkwy
Lebanon, IN 46052-7601

Mailing address

1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748

Other providers in Lebanon, IN

All providers in Lebanon, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.