Provider Demographics
NPI:1396109732
Name:LINDSEY, KORTNEY (RBT)
Entity type:Individual
Prefix:
First Name:KORTNEY
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1148
Mailing Address - Country:US
Mailing Address - Phone:330-906-0047
Mailing Address - Fax:
Practice Address - Street 1:874 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1148
Practice Address - Country:US
Practice Address - Phone:330-906-0047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker