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NPI Code Detail

MEDICARE: K1DS COUNT THERAPY, LLC

MEDICARE: K1DS COUNT THERAPY, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist
2106S00000XBehavior Technician
3225100000XPhysical Therapist
4225X00000XOccupational Therapist
5235Z00000XSpeech-Language Pathologist
6103K00000XBehavior Analyst

General Provider Information

NPI Number : 1548566201
Entity Type Code : Organization
Provider Name (Legal Business Name) : K1DS COUNT THERAPY, LLC
Provider Business Mailing Address
First Line : 1353 E MAIN ST
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1433
Country : US
Telephone Number : 317-520-4748
Fax Number : 888-498-5529
Provider Business Practice Location Address
First Line : 1353 E MAIN ST
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1433
Country : US
Telephone Number : 317-520-4748
Fax Number : 888-498-5529
Authorized Official
Title or Position : PRESIDENT
Name : LINDSAY LAUREN KNEZ
Credential : BCBA, MA, CCC-SLP
Telephone Number : 317-520-4748
Provider Enumeration Date : 01/28/2011
Last Update Date : 08/11/2023

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