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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN KITE BCBA

MEDICARE:  MRS. ELIZABETH ANN KITE  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 Analyst1-14-10294TX

General Provider Information

NPI Number : 1992240006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN KITE BCBA
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 979-575-6357
Fax Number :
Provider Business Practice Location Address
First Line : 5738 FOREST TIMBERS DR
Second Line :
City : HUMBLE
State : TX
Zip : 77346-1933
Country : US
Telephone Number : 979-575-6357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2016
Last Update Date : 07/27/2020

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Directions to “ MRS. ELIZABETH ANN KITE BCBA” Practice Location

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