Healthcare Provider Details

I. General information

NPI: 1164339339
Provider Name (Legal Business Name): KYLER DELANEY RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 BOLL WEEVIL CIR STE 2
ENTERPRISE AL
36330-1317
US

IV. Provider business mailing address

1016 BOLL WEEVIL CIR STE 2
ENTERPRISE AL
36330-1317
US

V. Phone/Fax

Practice location:
  • Phone: 334-661-7635
  • Fax: 334-694-0574
Mailing address:
  • Phone: 334-661-7635
  • Fax: 334-694-0574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2844053
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: