IndividualActive
Kohta Komatsubara
NPI 1023850401 · Behavior Technician · Champaign, IL
Kohta Komatsubara is a Behavior Technician provider in Champaign, IL (NPI 1023850401).
Provider details
- NPI number
- 1023850401
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2301 W Bradley Ave
Champaign, IL 61821-1849
Phone: (574) 378-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2024-06-07
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Kohta Komatsubara's NPI number?
- Kohta Komatsubara's National Provider Identifier (NPI) is 1023850401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kohta Komatsubara's specialty?
- Kohta Komatsubara is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kohta Komatsubara located?
- Kohta Komatsubara's practice location on file with NPPES is 2301 W Bradley Ave, Champaign, IL 61821-1849.
- What is Kohta Komatsubara's phone number?
- The practice phone number listed in the NPPES registry for Kohta Komatsubara is (574) 378-4313.
- Is Kohta Komatsubara's NPI active?
- Yes — Kohta Komatsubara's NPI (1023850401) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.