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NPI Code Detail

MEDICARE: KAITLYNN SMALLWOOD

MEDICARE: KAITLYNN SMALLWOOD
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 Technician

General Provider Information

NPI Number : 1790496214
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYNN SMALLWOOD
Provider Business Mailing Address
First Line : 14426 MEDICAL COMPLEX DR STE 106
Second Line :
City : TOMBALL
State : TX
Zip : 77377-3101
Country : US
Telephone Number : 281-205-8421
Fax Number :
Provider Business Practice Location Address
First Line : 14426 MEDICAL COMPLEX DR STE 106
Second Line :
City : TOMBALL
State : TX
Zip : 77377-3101
Country : US
Telephone Number : 281-205-8421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2022
Last Update Date : 12/06/2022

Similar Medicare Providers

1457206450 — GABRIELLE KINDLEY
Practice Location Address:
14426 MEDICAL COMPLEX DR STE 106
TOMBALL, TX
77377-3101
Practice Phone: 281-205-8421
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1902751928 — STEPHANIE MIESS
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1578154373 — MRS. LINDA HONG HICKEY BCBA, LBA
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1003545906 — NAZJAI MORGAN
Practice Location Address:
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TOMBALL, TX
77377-3101
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1124983341 — GLORI ANN COSIO
Practice Location Address:
14426 MEDICAL COMPLEX DR STE 106
TOMBALL, TX
77377-3101
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Practice Fax:
1366309635 — SARAH SCOTT
Practice Location Address:
14426 MEDICAL COMPLEX DR STE 106
TOMBALL, TX
77377-3101
Practice Phone: 281-205-8421
Practice Fax:

Directions to “ KAITLYNN SMALLWOOD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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