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NPI Code Detail

MEDICARE: KAYLEE WEEKLEY BCABA

MEDICARE: KAYLEE WEEKLEY BCABA
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
1106E00000XAssistant Behavior Analyst0167558FL

General Provider Information

NPI Number : 1225576515
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE WEEKLEY BCABA
Provider Business Mailing Address
First Line : 80 COLLEGE BLVD E
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-1343
Country : US
Telephone Number : 850-279-3000
Fax Number : 850-389-2269
Provider Business Practice Location Address
First Line : 80 COLLEGE BLVD E
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-1343
Country : US
Telephone Number : 850-279-3000
Fax Number : 850-389-2269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2017
Last Update Date : 02/07/2017

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Directions to “ KAYLEE WEEKLEY BCABA” Practice Location

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