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NPI Code Detail

MEDICARE: KYLE AGUIRRE BCBA

MEDICARE: KYLE AGUIRRE 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 AnalystCA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1285100198
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE AGUIRRE BCBA
Provider Business Mailing Address
First Line : 1080 S LA CIENEGA BLVD STE 306
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2679
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1080 S LA CIENEGA BLVD STE 306
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2679
Country : US
Telephone Number : 310-402-3116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2018
Last Update Date : 05/21/2026

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Directions to “ KYLE AGUIRRE BCBA” Practice Location

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