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NPI Code Detail

MEDICARE: PARKER KILLIAN BUCK RBT

MEDICARE: PARKER KILLIAN BUCK RBT
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 : 1154169431
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARKER KILLIAN BUCK RBT
Provider Business Mailing Address
First Line : 735 CANA GRV UNIT 101
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4075
Country : US
Telephone Number : 970-939-9382
Fax Number :
Provider Business Practice Location Address
First Line : 6140 TUTT BLVD STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-3576
Country : US
Telephone Number : 855-444-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2024
Last Update Date : 08/26/2025

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Directions to “ PARKER KILLIAN BUCK RBT” Practice Location

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