MEDICARE: KIRA HALL

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	:	1952093098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRA HALL

Provider Business Mailing Address
First Line	:	9604 FRANKLIN AVE
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2314
Country	:	US
Telephone Number	:	301-323-3620
Fax Number	:

Provider Business Practice Location Address
First Line	:	3772 1ST ST SE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-2328
Country	:	US
Telephone Number	:	202-390-5222
Fax Number	:

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

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	02/05/2026

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Directions to “ KIRA HALL ” Practice Location

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