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NPI Code Detail

MEDICARE: KYLIE NICOLE BECKER

MEDICARE: KYLIE NICOLE BECKER
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 : 1952233306
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE NICOLE BECKER
Provider Business Mailing Address
First Line : 1000 SWN DR
Second Line :
City : CONWAY
State : AR
Zip : 72032-2557
Country : US
Telephone Number : 501-328-3274
Fax Number :
Provider Business Practice Location Address
First Line : 344 FAYETTEVILLE AVE
Second Line :
City : ALMA
State : AR
Zip : 72921-3655
Country : US
Telephone Number : 479-632-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ KYLIE NICOLE BECKER ” Practice Location

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