=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770442097
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WHITE MOUNTAIN COACHING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2026
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 141 N 6TH ST
-----------------------------------------------------
City | SHOW LOW
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85901-5004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-300-5435
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2124
-----------------------------------------------------
City | OVERGAARD
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85933-2124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-300-5435
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | DANIEL KUHSE
-----------------------------------------------------
Credential | BHT
-----------------------------------------------------
Telephone | 602-300-5435
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------