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NPI Code Detail

MEDICARE: CARRINGTON TAYLOR KISSNER

MEDICARE: CARRINGTON TAYLOR KISSNER
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 Analyst1-25-82905

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336748177
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRINGTON TAYLOR KISSNER
Provider Business Mailing Address
First Line : 7220 W 41ST ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-6028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8610 HIDDEN RIVER PKWY STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33637-1114
Country : US
Telephone Number : 813-481-9662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 07/28/2025

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Directions to “ CARRINGTON TAYLOR KISSNER ” Practice Location

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