NPI age
3 years
Enumerated 2022-07-06
● Active
Type 1 · Individual
MISS Kaja Madison Korenke, IS
Korenke is 1 of 6 behavior technician providers in Shelley and 1 of 1155 in Idaho.
Primary specialty
Behavior Technician
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1155 active behavior technician providers in Idaho.
NPI age
3 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Practice location
420 Cardinal Dr
Shelley, ID 832744925
Mailing address
420 Cardinal Dr
Shelley, ID 832744925
Specialties
-
Behavior Technician PrimaryThe behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | GC233125A | DRIVERS LICENSE NUMBER |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.