MEDICARE: KRISTIE R KOCH BCBA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	103K00000X	Behavior Analyst	1-20-40759

General Provider Information

NPI Number	:	1306464300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIE R KOCH BCBA

Provider Business Mailing Address
First Line	:	2342 S COPPERSTONE DR
Second Line	:
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-8036
Country	:	US
Telephone Number	:	765-661-9790
Fax Number	:	317-978-3478

Provider Business Practice Location Address
First Line	:	7375 W US 52
Second Line	:
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-8950
Country	:	US
Telephone Number	:	888-877-7222
Fax Number	:	317-978-3478

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

Provider Enumeration Date	:	07/07/2020
Last Update Date	:	06/11/2024

Similar Medicare Providers

1740282201 — DR. ELIZABETH A BLACHLY M.D.
Practice Location Address:

7375 W US HIGHWAY 52
NEW PALESTINE, IN
46163-8950

Practice Phone: 317-861-4171
Practice Fax: 317-861-5325

1710971734 — DR. KRISTIN S BAGLEY M.D.
Practice Location Address:

7375 W. US 52 , NEW PALESTINE FAMILY MEDICINE
NEW PALESTINE, IN
46163-8950

Practice Phone: 317-861-4171
Practice Fax: 317-861-5325

1568708840 — MRS. ANGELA LOU SEAL MOT, OTR
Practice Location Address:

7375 W US 52
NEW PALESTINE, IN
46163-8950

Practice Phone: 888-877-7222
Practice Fax:

1316370638 — AMY SCHMOLL DIERSING FNP
Practice Location Address:

7375 W US 52
NEW PALESTINE, IN
46163-8950

Practice Phone: 317-861-4171
Practice Fax: 317-861-5325

1861920977 — SHAWN THOMAS MOORE DO
Practice Location Address:

7375 W US 52
NEW PALESTINE, IN
46163-8950

Practice Phone: 317-861-4171
Practice Fax: 317-861-5325

1174049118 — RACHEL MICHELLE RIGSBEE BCBA
Practice Location Address:

7375 W US 52
NEW PALESTINE, IN
46163-8950

Practice Phone: 888-877-7222
Practice Fax:

Directions to “ KRISTIE R KOCH BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.