MEDICARE: SAGE TAYLOR KAHLE

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		VA

General Provider Information

NPI Number	:	1306704952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAGE TAYLOR KAHLE

Provider Business Mailing Address
First Line	:	1736 N ALANTON DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	348 SOUTHPORT CIR STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1181
Country	:	US
Telephone Number	:	844-921-6618
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ SAGE TAYLOR KAHLE ” Practice Location

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