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NPI Code Detail

MEDICARE: KAITLIN VARRIANO BCBA

MEDICARE: KAITLIN VARRIANO 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 Analyst11624271CO

General Provider Information

NPI Number : 1295272862
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN VARRIANO BCBA
Provider Business Mailing Address
First Line : 2760 FIELDSTONE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3100
Country : US
Telephone Number : 701-630-0135
Fax Number :
Provider Business Practice Location Address
First Line : 2760 FIELDSTONE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3100
Country : US
Telephone Number : 701-630-0135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2017
Last Update Date : 01/20/2017

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Directions to “ KAITLIN VARRIANO BCBA” Practice Location

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