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NPI Code Detail

MEDICARE: KAYLI WHITING

MEDICARE:   KAYLI  WHITING
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

General Provider Information

NPI Number : 1437873528
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLI WHITING
Provider Business Mailing Address
First Line : 1104 TREECREST PKWY
Second Line :
City : DECATUR
State : GA
Zip : 30035-3559
Country : US
Telephone Number : 385-722-1189
Fax Number :
Provider Business Practice Location Address
First Line : 1783 WASHINGTON RD
Second Line :
City : EAST POINT
State : GA
Zip : 30344-4161
Country : US
Telephone Number : 877-288-4760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 10/03/2022

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Directions to “ KAYLI WHITING ” Practice Location

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