IndividualActive
Kenndall Bethel
NPI 1073345369 · Behavior Technician · South Bend, IN
Kenndall Bethel is a Behavior Technician provider in South Bend, IN (NPI 1073345369).
Provider details
- NPI number
- 1073345369
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-24-364520 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
17551 Generations Dr
South Bend, IN 46635-1589
Phone: (574) 400-2169
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2024-08-15
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Frequently asked questions
- What is Kenndall Bethel's NPI number?
- Kenndall Bethel's National Provider Identifier (NPI) is 1073345369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenndall Bethel's specialty?
- Kenndall Bethel is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kenndall Bethel located?
- Kenndall Bethel's practice location on file with NPPES is 17551 Generations Dr, South Bend, IN 46635-1589.
- What is Kenndall Bethel's phone number?
- The practice phone number listed in the NPPES registry for Kenndall Bethel is (574) 400-2169.
- Is Kenndall Bethel's NPI active?
- Yes — Kenndall Bethel's NPI (1073345369) is active in the NPPES registry as of the last update on 2024-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.