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NPI Code Detail

MEDICARE: BERNICE KYLA NACINO

MEDICARE: BERNICE KYLA NACINO
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 Technician1873963TX
2103K00000XBehavior Analyst1-23-69948TX

General Provider Information

NPI Number : 1780268375
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNICE KYLA NACINO
Provider Business Mailing Address
First Line : 6206 PRESIDIO CANYON DR
Second Line :
City : KATY
State : TX
Zip : 77450-8756
Country : US
Telephone Number : 713-291-4997
Fax Number :
Provider Business Practice Location Address
First Line : 3552 FM 1092 RD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-2203
Country : US
Telephone Number : 346-368-4412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 01/15/2024

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Directions to “ BERNICE KYLA NACINO ” Practice Location

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