Kaitlin Rotholtz
Behavior Technician in Bloomington, IL. Individual provider (NPI-1).
NPI number1003680141
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1003680141
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Rotholtz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2023
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1015 S Mercer AveBloomington, IL 61701-7107
Phone 844-263-1613
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 111 Behavior Technician providers in Bloomington · All 2,449 providers in Bloomington
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