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NPI Code Detail

MEDICARE: RYLEE ERIN HOLMES BEHAVIOR ANALYST

MEDICARE: RYLEE ERIN HOLMES BEHAVIOR ANALYST
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
1103K00000XBehavior Analyst1-18-29989

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699271254
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYLEE ERIN HOLMES BEHAVIOR ANALYST
Provider Business Mailing Address
First Line : 1601 S MOPAC EXPY
Second Line : STE C-300
City : AUSTIN
State : TX
Zip : 78746-5022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8260 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8608
Country : US
Telephone Number : 817-717-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 08/20/2021

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