Kylee Bean

Individual provider Active NPI Behavior Technician · Paducah, KY

NPI 1891573754 · NPPES record last updated Sep 20, 2023

Key facts

NPI
1891573754
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-295014 (KS)
Practice address
3551 Park Plaza Rd
Paducah, KY 42001-5948
Phone
(270) 854-1482
NPI assigned
Sep 20, 2023
Sex
Female
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-23-295014KSMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Minds Learning Center, LLC Past
since Sep 24, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-295014 KS Yes

Addresses

Primary practice location

3551 Park Plaza Rd
Paducah, KY 42001-5948

Mailing address

PO Box 931142
Atlanta, GA 31193-1142

Other providers in Paducah, KY

All providers in Paducah, KY · Behavior Technician in Kentucky

Sources for this page

Verify at the official NPI Registry.