Provider Demographics
NPI:1750816849
Name:BRAUN, APRIL (COTA)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:BRAUN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MRS
Other - First Name:APRIL
Other - Middle Name:B
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:121 BYRTLE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754-7838
Mailing Address - Country:US
Mailing Address - Phone:270-320-1226
Mailing Address - Fax:
Practice Address - Street 1:121 BYRTLE GROVE RD
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754
Practice Address - Country:US
Practice Address - Phone:270-320-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2018-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRBT-18-60721106S00000X
KY169218224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician