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NPI Code Detail

MEDICARE: KAILA PERRINGTON

MEDICARE:   KAILA  PERRINGTON
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 TechnicianRBT-19-91318FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609383975
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILA PERRINGTON
Provider Business Mailing Address
First Line : 1242 SW PINE ISLAND RD STE 42-302
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2120
Country : US
Telephone Number : 239-910-0712
Fax Number : 317-774-5004
Provider Business Practice Location Address
First Line : 12438 BRANTLEY COMMONS CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5683
Country : US
Telephone Number : 239-349-3139
Fax Number : 239-984-4372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 04/13/2023

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Directions to “ KAILA PERRINGTON ” Practice Location

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