MEDICARE: KALEY ROSE KREITZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1699361543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALEY ROSE KREITZ

Provider Business Mailing Address
First Line	:	475 PROVIDENCE MAIN ST NW STE 201
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-4828
Country	:	US
Telephone Number	:	256-489-8660
Fax Number	:

Provider Business Practice Location Address
First Line	:	2117 METRO CIR SW STE A
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5343
Country	:	US
Telephone Number	:	256-701-4410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2020
Last Update Date	:	01/21/2026

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Directions to “ KALEY ROSE KREITZ ” Practice Location

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