Kayla Potts
Individual provider Active NPI Behavior Technician · Cloverdale, IN
NPI 1992517072 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1992517072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 54 N. Main Street
Cloverdale, IN 46120 - Phone
- (765) 301-9285
- NPI assigned
- Jan 24, 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
54 N. Main Street
Cloverdale, IN 46120
Mailing address
54 N. Main Street
Cloverdale, IN 46120
Phone (765) 301-9285
Other providers in Cloverdale, IN
- Abigail R Nees
- Jack Newson
- Michael Painter
- Troy Pedersen
- Cassie Anne Perras
- Chloe L Powers
- Harlie Renee Pruitt
- Putnam County Hospital
- Angela Raisor
- Kristen Brandt Rogers
All providers in Cloverdale, 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 Jan 24, 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.