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NPI Code Detail

MEDICARE: KYLE FRANK BCBA

MEDICARE: KYLE FRANK BCBA
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 Analyst1-20-42940FL
2106E00000XAssistant Behavior Analyst0-18-8623FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1012925600OTHERFLAPD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548767718
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE FRANK BCBA
Provider Business Mailing Address
First Line : 1704 ORRINGTON PAYNE PL
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-9060
Country : US
Telephone Number : 612-807-3212
Fax Number :
Provider Business Practice Location Address
First Line : 2154 CENTRAL FLORIDA PKWY STE B2
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8986
Country : US
Telephone Number : 612-807-3212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2018
Last Update Date : 07/06/2020

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Directions to “ KYLE FRANK BCBA” Practice Location

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