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NPI Code Detail

MEDICARE: KAYLEE DETWEILER

MEDICARE: KAYLEE DETWEILER
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst12365982FL

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 : 1871092247
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE DETWEILER
Provider Business Mailing Address
First Line : 1500 DOUGLAS ROAD
Second Line : STE 230
City : CORAL GABLES
State : FL
Zip : 33134
Country : US
Telephone Number : 844-244-1818
Fax Number :
Provider Business Practice Location Address
First Line : 5020 GUNN HWY STE 250
Second Line :
City : TAMPA
State : FL
Zip : 33624-6361
Country : US
Telephone Number : 813-733-8572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 09/01/2025

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Directions to “ KAYLEE DETWEILER ” 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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