Kylie Black
Individual provider Active NPI Behavior Technician · Newburgh, IN
NPI 1891590170 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1891590170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4655 Rosebud LN
Newburgh, IN 47630-9366 - Phone
- (812) 213-8031
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4655 Rosebud LN
Newburgh, IN 47630-9366
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Other providers in Newburgh, IN
- Harshil Bhatt
- James R Bigham II
- Macey L Bishop
- Adrienne Renee Bittner
- Austyn Nicole Black
- Connie Faye Blackford
- Elizabeth Blackford
- Anna Nicole Blalock
- Jessica Ann Blandford
- Nathan Thomas Blandford
All providers in Newburgh, 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 Feb 19, 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.