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NPI Code Detail

MEDICARE: HAILEY KOSINSKI

MEDICARE: HAILEY KOSINSKI
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1457241333
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY KOSINSKI
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2430 VAN BUREN AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-2555
Country : US
Telephone Number : 937-533-4904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2025
Last Update Date : 06/01/2026

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Directions to “ HAILEY KOSINSKI ” Practice Location

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