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NPI Code Detail

MEDICARE: KIMBYR COGLIANO

MEDICARE: KIMBYR COGLIANO
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 Analyst1-14-9443

General Provider Information

NPI Number : 1073969283
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBYR COGLIANO
Provider Business Mailing Address
First Line : 1116 SEILER AVE
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-3343
Country : US
Telephone Number : 603-393-7741
Fax Number :
Provider Business Practice Location Address
First Line : 1717 E CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7024
Country : US
Telephone Number : 603-393-7741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 09/06/2024

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Directions to “ KIMBYR COGLIANO ” Practice Location

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