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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KAJA MADISON KORENKE, IS

Active Sole Proprietor

MISS KAJA MADISON KORENKE, IS is a Behavior Technician healthcare provider located in SHELLEY, Idaho. NPI 1134852288 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SHELLEY, ID

Registration Details

NPI Number
1134852288
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2022 (4.0940852550446 yrs)
Last Updated
Jul 6, 2022
Sole Proprietor
Yes

Practice Information

Address
420 CARDINAL DR
SHELLEY, ID, 832744925
Browse ID providers · Browse ZIP 83274
Phone
2089189991
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SHELLEY, ID

Name Credential NPI
DANIELLE HUTCHINGS MCKINNEY 1720612757
MRS. TYLER ROWBERRY MOULTON BSBI 1861016339
CRAIG MOULTON 1346838729
MRS. JESSICA KELLEY WESTOVER 1285200543
VIKTORIYA LICHTENBERG 1649848136
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.