MEDICARE: RYLEE ISABELLA HUTSELL RBT

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
1	106S00000X	Behavior Technician	RBT-25-474875	SC

General Provider Information

NPI Number	:	1477485290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYLEE ISABELLA HUTSELL RBT

Provider Business Mailing Address
First Line	:	8439 DORCHESTER RD APT 819
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-7377
Country	:	US
Telephone Number	:	865-607-2303
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 CARRIAGE LN # B
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-6010
Country	:	US
Telephone Number	:	843-297-8470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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