NPI 1265027403

Mitchell Koens, RBT

Practitioner Behavior Technician Aberdeen, SD

Practice location

Address: 405 S Washington St, Aberdeen, SD 57401-4348
Phone: (605) 262-2162
Fax: (605) 271-3956
Mailing address: 1105 W Russell St, Sioux Falls, SD 57104-1322

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-20-115442 (SD)

Other Behavior Technician providers in South Dakota →

Registry record

NPI: 1265027403
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2021
Record last updated: 9 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.