Kassidy Conley, RBT
Behavior Technician in Kendallville, IN. Individual provider (NPI-1).
NPI number1750196754
StatusActive
Last updated in NPPESFeb 8, 2025
Details
- NPI
- 1750196754
- Entity type
- Individual (NPI-1)
- Name
- Kassidy Conley
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2025
- Certification date
- Feb 8, 2025
- Last updated
- Feb 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-322461 | IN | Yes |
Practice location
2767 E Us Highway 6Kendallville, IN 46755-9341
Phone 260-318-9005
Mailing address
2767 E Us Highway 6Kendallville, IN 46755-9341
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