Provider Demographics
NPI:1710705702
Name:BELL, PAIDEN
Entity type:Individual
Prefix:
First Name:PAIDEN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2004
Mailing Address - Country:US
Mailing Address - Phone:316-283-1950
Mailing Address - Fax:316-529-9351
Practice Address - Street 1:2024 N WOODLAWN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1851
Practice Address - Country:US
Practice Address - Phone:316-399-6830
Practice Address - Fax:316-529-9351
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician