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NPI Code Detail

MEDICARE: NICOLAS A KABSY M.S., BCBA

MEDICARE: NICOLAS A KABSY M.S., 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-21-57096

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 : 1366946006
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAS A KABSY M.S., BCBA
Provider Business Mailing Address
First Line : 2602 W RICHEY AVE APT 2504
Second Line :
City : ARTESIA
State : NM
Zip : 88210-9690
Country : US
Telephone Number : 505-908-0197
Fax Number :
Provider Business Practice Location Address
First Line : 5400 SUNCREST DR STE D1
Second Line :
City : EL PASO
State : TX
Zip : 79912-5615
Country : US
Telephone Number : 855-295-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 12/05/2023

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