Laura Lee Koerner

Individual provider Active NPI Behavior Technician · Russell, KS

NPI 1992533129 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1992533129
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
971 E Wichita Ave
Russell, KS 67665-2444
Phone
(785) 377-4744
NPI assigned
Jul 22, 2024
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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Solutions, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X KS Yes

Addresses

Primary practice location

971 E Wichita Ave
Russell, KS 67665-2444

Mailing address

8901 E Harry St Apt 408
Wichita, KS 67207-4713
Phone (316) 775-8920

Other providers in Russell, KS

All providers in Russell, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.