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NPI Code Detail

MEDICARE: KAITLYN JOAN RICE

MEDICARE: KAITLYN JOAN RICE
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 : 1619869500
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN JOAN RICE
Provider Business Mailing Address
First Line : 8827 NEWMARKET DR
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-9456
Country : US
Telephone Number : 631-816-1827
Fax Number :
Provider Business Practice Location Address
First Line : 1329 WINTER GARDEN VINELAND RD
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-4353
Country : US
Telephone Number : 321-800-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2025
Last Update Date : 07/16/2025

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Directions to “ KAITLYN JOAN RICE ” Practice Location

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