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NPI Code Detail

MEDICARE: RYLIE KARREN

MEDICARE: RYLIE KARREN
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 : 1811874811
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYLIE KARREN
Provider Business Mailing Address
First Line : 4102 PURVIANCE CT
Second Line :
City : WILMINGTON
State : NC
Zip : 28409-3530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44 SHUCKIN ST
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-8729
Country : US
Telephone Number : 910-599-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2025
Last Update Date : 08/20/2025

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Directions to “ RYLIE KARREN ” Practice Location

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