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NPI Code Detail

MEDICARE: KYLIE NEGRETE

MEDICARE:   KYLIE  NEGRETE
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 : 1639938541
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE NEGRETE
Provider Business Mailing Address
First Line : 20010 MANDERSON ST STE 104
Second Line :
City : ELKHORN
State : NE
Zip : 68022-1264
Country : US
Telephone Number : 972-777-1331
Fax Number :
Provider Business Practice Location Address
First Line : 20010 MANDERSON ST STE 104
Second Line :
City : ELKHORN
State : NE
Zip : 68022-1264
Country : US
Telephone Number : 972-777-1331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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Directions to “ KYLIE NEGRETE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.