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NPI Code Detail

MEDICARE: ALEXANDRA MARIE KYLES

MEDICARE: ALEXANDRA MARIE KYLES
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 Technician106S00000XMD

General Provider Information

NPI Number : 1710835293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MARIE KYLES
Provider Business Mailing Address
First Line : 7005 LACHLAN CIR APT E
Second Line :
City : BALTIMORE
State : MD
Zip : 21239-4534
Country : US
Telephone Number : 443-895-1402
Fax Number :
Provider Business Practice Location Address
First Line : 122 CRANBROOK RD STE 36
Second Line :
City : COCKEYSVILLE
State : MD
Zip : 21030-3405
Country : US
Telephone Number : 443-353-0103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ ALEXANDRA MARIE KYLES ” Practice Location

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