Healthcare Provider Details

I. General information

NPI: 1548566201
Provider Name (Legal Business Name): K1DS COUNT THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2011
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 E MAIN ST
BROWNSBURG IN
46112-1433
US

IV. Provider business mailing address

1353 E MAIN ST
BROWNSBURG IN
46112-1433
US

V. Phone/Fax

Practice location:
  • Phone: 317-520-4748
  • Fax: 888-498-5529
Mailing address:
  • Phone: 317-520-4748
  • Fax: 888-498-5529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY LAUREN KNEZ
Title or Position: PRESIDENT
Credential: BCBA, MA, CCC-SLP
Phone: 317-520-4748