Individual
KRISTIE R KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7375 W US 52, NEW PALESTINE, IN 46163-8950
(888) 877-7222
(317) 978-3478
Mailing address
2342 S COPPERSTONE DR, NEW PALESTINE, IN 46163-8036
(765) 661-9790
(317) 978-3478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40759
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/07/2020
Last updated
06/11/2024
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