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NPI Code Detail

MEDICARE: BROOKE NIKOLE KUHN BCBA

MEDICARE: BROOKE NIKOLE KUHN BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1932739562
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE NIKOLE KUHN BCBA
Provider Business Mailing Address
First Line : 3730 EDISON LAKES PKWY
Second Line :
City : MISHAWAKA
State : IN
Zip : 46545-3424
Country : US
Telephone Number : 574-387-4313
Fax Number : 574-204-2868
Provider Business Practice Location Address
First Line : 1550 PIDCO DR
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1355
Country : US
Telephone Number : 574-387-4313
Fax Number : 574-204-2868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2020
Last Update Date : 01/23/2020

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Directions to “ BROOKE NIKOLE KUHN BCBA” Practice Location

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