Kealie Vanantwerp, RBT
Behavior Technician in Columbus, IN. Individual provider (NPI-1).
NPI number1104621291
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1104621291
- Entity type
- Individual (NPI-1)
- Name
- Kealie Vanantwerp
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-281195 | IN | Yes |
Practice location
2600 Sandcrest BlvdColumbus, IN 47203-3053
Phone 812-413-9321 · Fax 812-413-9323
Mailing address
2600 Sandcrest BlvdColumbus, IN 47203-3053
Phone 812-413-9321 · Fax 812-413-9323
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