Kyra Dawn Roediger
Behavior Technician in Sanford, NC. Individual provider (NPI-1).
NPI number1043045651
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1043045651
- Entity type
- Individual (NPI-1)
- Name
- Kyra Dawn Roediger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Sep 4, 2024
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
89 Lakewind CtSanford, NC 27332-0612
Phone 919-601-4685 · Fax 910-356-9466
Mailing address
20 Markham StFort Liberty, NC 28307-3406
Phone 541-324-4196
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 42 Behavior Technician providers in Sanford · All 1,337 providers in Sanford
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