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NPI Code Detail

MEDICARE: BELLA SKYY KADING RBT

MEDICARE: BELLA SKYY KADING RBT
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 TechnicianRBT22-201392

General Provider Information

NPI Number : 1801511167
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELLA SKYY KADING RBT
Provider Business Mailing Address
First Line : 7540 ALLENTOWN BLVD STE 5
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-4238
Country : US
Telephone Number : 717-307-8397
Fax Number :
Provider Business Practice Location Address
First Line : 7540 ALLENTOWN BLVD STE 5
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-4238
Country : US
Telephone Number : 717-307-8397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2022
Last Update Date : 10/10/2022

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Directions to “ BELLA SKYY KADING RBT” Practice Location

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