Katherine Angel
Individual provider Active NPI Behavior Technician · Russellville, AR
NPI 1932809167 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1932809167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 301 N Sidney Ave
Russellville, AR 72801-4383 - Phone
- (479) 890-5494
- NPI assigned
- Mar 7, 2023
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid Success, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AR | Yes |
Addresses
Primary practice location
301 N Sidney Ave
Russellville, AR 72801-4383
Mailing address
301 N Sidney Ave
Russellville, AR 72801-4383
Phone (479) 890-5494
Other providers in Russellville, AR
- Amy J S Daiber OD PA
- Casey Anderson
- Jeana Corleen Anderson
- Randall Alan Anderson
- Edward L Andrada
- Ana Isabel Angeles Arredondo
- Anne Keenan LCSW and Associates
- Danny J Aquilar
- Wanda Arbaugh
- Arcare
All providers in Russellville, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.