Healthcare Provider Details

I. General information

NPI: 1871400663
Provider Name (Legal Business Name): KENDAL RANKINS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 E MAIN ST
BROWNSBURG IN
46112-1433
US

IV. Provider business mailing address

3850 WHITESTOWN PKWY
LEBANON IN
46052-7601
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2844230
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: