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NPI Code Detail

MEDICARE: KINADI DENISE LEE

MEDICARE: KINADI DENISE LEE
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 : 1700592623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINADI DENISE LEE
Provider Business Mailing Address
First Line : 5740 EXECUTIVE DR STE 114
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1331
Country : US
Telephone Number : 574-855-9854
Fax Number :
Provider Business Practice Location Address
First Line : 5740 EXECUTIVE DR STE 114
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1331
Country : US
Telephone Number : 574-855-9854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 05/28/2026

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Directions to “ KINADI DENISE LEE ” Practice Location

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