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

KIAH DANAE PANNEBAKER, RBT

Active

KIAH DANAE PANNEBAKER, RBT is a Behavior Technician healthcare provider located in BOSSIER CITY, Louisiana. NPI 1265187124 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · BOSSIER CITY, LA

Registration Details

NPI Number
1265187124
Provider Type
Individual
Gender
Female
NPI Issued
Feb 18, 2022 (4.4433311765441 yrs)
Last Updated
Feb 18, 2022
License
RBT-22-199148

Practice Information

Address
4440 VIKING DR
BOSSIER CITY, LA, 711117511
Browse LA providers · Browse ZIP 71111
Phone
3185888908
Fax
3185888909
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in BOSSIER CITY, LA

Name Credential NPI
SAMANTHA DEEANN DORTCH 1508410127
MIRANDA BAER 1215581830
STEPHANIE ANFINSON RBT 1609418441
CAITLYN MARTIN RBT 1124660998
NORMAN SMITH RBT 1285276956
LINDSEY WILLIS RBT 1962013177
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.