Abigail Lyn Koch, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1017394 Issued in TN

Practice address

206 S Jefferson Ave
Cookeville, TN 38501-4748

Phone

(844) 244-1818

NPI assigned

May 9, 2023

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

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1902596307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HICKORY VALLEY RD APT A6",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374215610",
            "telephone_number": "629-867-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014748",
            "telephone_number": "844-244-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ABIGAIL",
        "middle_name": "LYN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "1017394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent J Klinkhammer, MD
• Richard Lawrence Klopfenstein Sr., COTA
• Christopher J Klugewicz, M.D.
• Martha Ashley Knowles, M.A.
• Gowthami Kobbari, MD
• Corey T Kocisko, CRNA
• Supriya Kohli, M.D.
• Rebecca Rae Kojak, DNP, RN
• Hima B Kona, MD
• Anne Kosgei

• Behavior Technician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.