Kyle Allen Correll, RBT
Behavior Technician in Greenwood, IN. Individual provider (NPI-1).
NPI number1982201042
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1982201042
- Entity type
- Individual (NPI-1)
- Name
- Kyle Allen Correll
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-107749 | IN | Yes |
Practice location
21 S Park Blvd Ste 21Greenwood, IN 46143-8838
Phone 317-449-2104 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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