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NPI Code Detail

MEDICARE: KAYLEE MCDANIEL BROWN RBT

MEDICARE: KAYLEE MCDANIEL BROWN RBT
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1528601606
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE MCDANIEL BROWN RBT
Provider Business Mailing Address
First Line : 2235 HOLLYBUSH DR APT 257
Second Line :
City : DALLAS
State : TX
Zip : 75228-5711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 189 N PLANO RD STE 100
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-8001
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 10/22/2019

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