NPI 1316634819 · live from the CMS NPI Registry
Logan Anderson-Dearth
Behavior Technician in Kokomo, IN. National Provider Identifier 1316634819, active.
NPI record
| NPI | 1316634819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 2701 Albright Rd, Kokomo, IN 46902 |
| Practice phone | 765-661-9709 |
| Enumerated | April 24, 2023 |
| Last updated | January 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician primary | 106S00000X | — (IN) |
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst | 103K00000X | RBT-22-245965 (IN) |
| Behavior Technician | 106S00000X | RBT-22-245965 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.