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NPI Code Detail

MEDICARE: KINDALL S PIPPINS BT

MEDICARE: KINDALL S PIPPINS BT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1982536140
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINDALL S PIPPINS BT
Provider Business Mailing Address
First Line : 3130 STATE LINE RD BLDG B
Second Line :
City : NORTH BEND
State : OH
Zip : 45052-9731
Country : US
Telephone Number : 765-580-9423
Fax Number :
Provider Business Practice Location Address
First Line : 3130 STATE LINE RD BLDG B
Second Line :
City : NORTH BEND
State : OH
Zip : 45052-9731
Country : US
Telephone Number : 765-580-9423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ KINDALL S PIPPINS BT” Practice Location

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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.

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