Kiley Adamson, RBT

Individual provider Active NPI Behavior Technician · Marion, IN

NPI 1992370696 · NPPES record last updated May 25, 2021

Key facts

NPI
1992370696
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-169328 (IN)
Practice address
2513 W 2ND St
Marion, IN 46952-3241
Phone
(765) 662-0490
Fax
(317) 520-8200
NPI assigned
May 25, 2021
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-21-169328INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge, LLC Behavior Technician Past
since Jun 22, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-169328 IN Yes

Addresses

Primary practice location

2513 W 2ND St
Marion, IN 46952-3241

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other providers in Marion, IN

All providers in Marion, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.