Kourtney Eaken
Individual provider Active NPI Behavior Technician · Columbus, IN
NPI 1891451399 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1891451399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-182217 (IN)
- Practice address
- 2369 Beam Rd
Columbus, IN 47203-3404 - Phone
- (812) 900-5463
- Fax
- (855) 919-4295
- NPI assigned
- Nov 10, 2021
- 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-21-182217 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imprint Pediatric Therapy LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-182217 | IN | Yes |
Addresses
Primary practice location
2369 Beam Rd
Columbus, IN 47203-3404
Mailing address
2369 Beam Rd
Columbus, IN 47203-3404
Phone (812) 900-5463
Other practice location 1
315 Washington St
Columbus, IN 47201-6743
Phone (812) 413-9321
Other practice location 2
2600 Sandcrest Blvd
Columbus, IN 47203-3053
Phone (812) 413-9321
Other providers in Columbus, IN
- Ashlie Dupuis
- Stephanie Dupuis
- Kristina Dwiggins
- Brittany Dyer
- Robyn Dykstra
- Debra Earle
- Alyssa Earls
- Kaden Christopher Eaton
- Bethany Ebener
- Rachael Dawn Eckert
All providers in Columbus, 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 Jun 13, 2025. 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.