IndividualActive
Alicia Tatum
NPI 1649010638 · Behavior Technician · Russell, KS
Provider details
- NPI number
- 1649010638
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
971 E Wichita Ave
Russell, KS 67665-2444
Phone: (785) 377-4744
Approximate (ZIP-level) locationGet directions
Mailing address
3834 N Oliver St
Bel Aire, KS 67220-2042
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.