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NPI Code Detail

MEDICARE: KYLIE BIGHAM

MEDICARE: KYLIE BIGHAM
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 : 1184517377
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE BIGHAM
Provider Business Mailing Address
First Line : 1650 ROUND ROCK AVE STE 400
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-4076
Country : US
Telephone Number : 512-308-3521
Fax Number : 512-308-3521
Provider Business Practice Location Address
First Line : 1650 ROUND ROCK AVE STE 400
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-4076
Country : US
Telephone Number : 512-308-3521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

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Directions to “ KYLIE BIGHAM ” Practice Location

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