Wellformed AI

NPI 1740665991 · live from the CMS NPI Registry

Kallie Ash, RBT

Behavior Technician in New Albany, IN. National Provider Identifier 1740665991, active.

NPI record

NPI1740665991 Type 1 · individual
StatusActive
Primary specialtyBehavior Technician 106S00000X
Practice location3211 Grant Line Rd Ste 15, New Albany, IN 47150
Practice phone502-417-9830
Mailing address811 Northgate Blvd, New Albany, IN 47150
EnumeratedJuly 29, 2015
Last updatedOctober 6, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Behavior Technician primary106S00000XRBT1616259 (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.