MEDICARE: KEVIN HYACINTHE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-377619	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184442253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN HYACINTHE

Provider Business Mailing Address
First Line	:	707 HAMSTER CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34759-4223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 HAMSTER CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34759-4223
Country	:	US
Telephone Number	:	407-744-5549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2024
Last Update Date	:	10/16/2024

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Directions to “ KEVIN HYACINTHE ” Practice Location

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