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NPI Code Detail

MEDICARE: KAILEIGH FAY SMITH

MEDICARE:   KAILEIGH FAY SMITH
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 : 1649126053
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILEIGH FAY SMITH
Provider Business Mailing Address
First Line : 98 BLUET ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-1470
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 98 BLUET ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-1470
Country : US
Telephone Number : 618-218-7775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ KAILEIGH FAY SMITH ” Practice Location

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