Kimberly Dawn Whitehead
Individual provider Active NPI Behavior Technician · Battle Mountain, NV
NPI 1992214274 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1992214274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2390 Kay Ave
Battle Mountain, NV 89820-4052 - Phone
- (775) 635-3690
- NPI assigned
- Sep 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
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
2390 Kay Ave
Battle Mountain, NV 89820-4052
Mailing address
PO Box 1555
Battle Mountain, NV 89820-1555
Phone (775) 635-3690
Other providers in Battle Mountain, NV
All providers in Battle Mountain, NV · Behavior Technician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.