Madeline Kossick
Behavior Technician in Greenwood, IN. Individual provider (NPI-1).
NPI number1013597632
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1013597632
- Entity type
- Individual (NPI-1)
- Name
- Madeline Kossick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2021
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-101207 | IN | Yes |
Practice location
374 Meridian Parke LnGreenwood, IN 46142-9406
Phone 317-899-5437
Mailing address
374 Meridian Parke LnGreenwood, IN 46142-9406
Phone 317-899-5437
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