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NPI Code Detail

MEDICARE: MR. KEVIN ABELLA M.A., BCBA

MEDICARE: MR. KEVIN ABELLA M.A., 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 Analyst1-13-13629HI

General Provider Information

NPI Number : 1578904140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN ABELLA M.A., BCBA
Provider Business Mailing Address
First Line : 2005 AEROPLAZA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4207
Country : US
Telephone Number : 719-425-7771
Fax Number : 719-208-7730
Provider Business Practice Location Address
First Line : 2005 AEROPLAZA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4207
Country : US
Telephone Number : 719-425-7771
Fax Number : 719-208-7730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 01/29/2022

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