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NPI Code Detail

MEDICARE: KELLIE KILPATRICK BROOKS RBT

MEDICARE: KELLIE KILPATRICK BROOKS 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1497601314
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE KILPATRICK BROOKS RBT
Provider Business Mailing Address
First Line : 215 GRANT ST SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-2511
Country : US
Telephone Number : 256-617-3118
Fax Number :
Provider Business Practice Location Address
First Line : 215 GRANT ST SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-2511
Country : US
Telephone Number : 256-617-3118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ KELLIE KILPATRICK BROOKS RBT” Practice Location

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