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NPI Code Detail

MEDICARE: KYLEE K HASBANY BCBA, LBA

MEDICARE: KYLEE K HASBANY BCBA, LBA
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
1103K00000XBehavior Analyst7401003196MI

General Provider Information

NPI Number : 1053087882
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEE K HASBANY BCBA, LBA
Provider Business Mailing Address
First Line : 3981 SHERWOOD FOREST DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-6317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10781 E CHERRY BEND RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-5249
Country : US
Telephone Number : 231-268-0007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2021
Last Update Date : 02/11/2026

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