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
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-23-281378 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K1DS Count Therapy, LLC | Behavior Technician | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Jonathon Wade Cavins
- CG-Dsa, LLC
- CG-Dsa, LLC
- Lilly Chapman
- Kimra M Cheek
- Tae Kae Chong
- Amanda Michelle Christmas
- Adam Anthony Cieciuch
- City Optical Co., Inc.
- Megan Clark
All providers in Lebanon, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 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.