Healthcare Provider Details

I. General information

NPI: 1992518310
Provider Name (Legal Business Name): KATIE KUHN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6644 HICKORY KNOLL DR
INDIANAPOLIS IN
46203-6206
US

IV. Provider business mailing address

8888 KEYSTONE CROSSING
INDIANAPOLIS IN
46240
US

V. Phone/Fax

Practice location:
  • Phone: 855-470-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: