Kourtney Eaken, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT21182217 Issued in IN

Practice address

1950 Doctors Park Dr
Columbus, IN 47203-2375

Phone

(812) 373-6103

Fax

(888) 375-4149

NPI assigned

Nov 10, 2021

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Imprint Pediatric Therapy LLC.

  • Behavior Analyst
  • Nashville, IN
  • NPI 1902371396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1891451399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032375",
            "telephone_number": "812-373-6103",
            "fax_number": "888-375-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032375",
            "telephone_number": "812-373-6103",
            "fax_number": "888-375-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2369 Beam Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472033404",
            "country_code": "US",
            "telephone_number": "812-900-5463",
            "fax_number": "855-919-4295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Sandcrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472033053",
            "country_code": "US",
            "telephone_number": "812-413-9321",
            "fax_number": "812-413-9323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Washington St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016743",
            "country_code": "US",
            "telephone_number": "812-413-9321",
            "fax_number": "812-413-9323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAKEN",
        "first_name": "KOURTNEY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT21182217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dupuis
• Kristina Dwiggins
• Brittany Dyer, RBT
• Robyn Dykstra, LCSW, PMH-C
• Calista Eaken
• Debra Earle, LCSW
• Alyssa Earls
• Kaden Christopher Eaton, PA-C
• Bethany Ebener, LPN
• Rachael Dawn Eckert

• Behavior Technician in Columbus, IN
• Providers in Columbus, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.