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NPI Code Detail

MEDICARE: KAYLEE DEGAN BCBA

MEDICARE: KAYLEE DEGAN 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 Analyst

General Provider Information

NPI Number : 1578079463
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE DEGAN BCBA
Provider Business Mailing Address
First Line : 4187 TANEIL DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-8860
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 214 FERREL ST
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-9511
Country : US
Telephone Number : 913-424-3673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 12/03/2024

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Directions to “ KAYLEE DEGAN BCBA” Practice Location

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