IndividualActive
Kristina Antillon
NPI 1396572558 · Behavior Technician · Russell, KS
Provider details
- NPI number
- 1396572558
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
971 E Wichita Ave
Russell, KS 67665-2444
Phone: (212) 481-4040
Approximate (ZIP-level) locationGet directions
Mailing address
971 E Wichita Ave
Russell, KS 67665-2444
Registry dates
- Enumerated
- 2024-09-19
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.