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NPI Code Detail

MEDICARE: MS. IRCIA MEREDITH KILLE BCBA

MEDICARE: MS. IRCIA MEREDITH KILLE BCBA
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 AnalystLBA0519NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BCBA1-21-47775OTHERNVBOARD CERTIFIED BEHAVIOR ANALYST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3LBA0519OTHERNVNEVADA LICENSED BEHAVIOR ANALYST

General Provider Information

NPI Number : 1164876728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IRCIA MEREDITH KILLE BCBA
Provider Business Mailing Address
First Line : 3785 BAKER LN STE 201
Second Line :
City : RENO
State : NV
Zip : 89509-5454
Country : US
Telephone Number : 775-560-4825
Fax Number : 844-402-8510
Provider Business Practice Location Address
First Line : 2301 SPARKS BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89434-2500
Country : US
Telephone Number : 775-560-4825
Fax Number : 844-402-8510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 06/15/2026

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Directions to “ MS. IRCIA MEREDITH KILLE BCBA” Practice Location

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