IndividualActive
Abhinav Kotaru, RBT
NPI 1902639495 · Behavior Technician · Bloomington, IN
Provider details
- NPI number
- 1902639495
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-24-370277 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
227 W Grimes Ln
Bloomington, IN 47403-3015
Phone: (812) 322-0313
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 668
Bloomington, IN 47402-0668
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.