MEDICARE: MS. KOURTNEY GERKEN RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	26-505765	AZ

General Provider Information

NPI Number	:	1578434684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KOURTNEY GERKEN RBT

Provider Business Mailing Address
First Line	:	5931 E LINDEN PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4320
Country	:	US
Telephone Number	:	866-610-0580
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 N SWAN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1227
Country	:	US
Telephone Number	:	855-824-5669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	04/13/2026

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Directions to “ MS. KOURTNEY GERKEN RBT” Practice Location

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