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NPI Code Detail

MEDICARE: CAROLYN KIT

MEDICARE: CAROLYN KIT
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
2103K00000XBehavior AnalystTX

General Provider Information

NPI Number : 1952959306
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN KIT
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY STE 1400
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1413 GABLES CT
Second Line :
City : PLANO
State : TX
Zip : 75075-7643
Country : US
Telephone Number : 210-761-3504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 02/15/2024

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Directions to “ CAROLYN KIT ” Practice Location

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