MEDICARE: MARCUS ALEXANDER KIRKPATRICK BS

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	:	1851282578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS ALEXANDER KIRKPATRICK BS

Provider Business Mailing Address
First Line	:	808 E 100TH TER APT 223
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-5306
Country	:	US
Telephone Number	:	660-591-5223
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 E 100TH TER APT 223
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-5306
Country	:	US
Telephone Number	:	660-591-5223
Fax Number	:

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

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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