Provider Demographics
NPI:1356152698
Name:ROBEY, KAELA CHRISTINE (RBT-24-382138)
Entity type:Individual
Prefix:
First Name:KAELA
Middle Name:CHRISTINE
Last Name:ROBEY
Suffix:
Gender:F
Credentials:RBT-24-382138
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E COLE ST
Mailing Address - Street 2:
Mailing Address - City:SWAYZEE
Mailing Address - State:IN
Mailing Address - Zip Code:46986-9541
Mailing Address - Country:US
Mailing Address - Phone:765-603-9450
Mailing Address - Fax:
Practice Address - Street 1:605 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-3403
Practice Address - Country:US
Practice Address - Phone:765-382-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24-382138103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst