Individual
CARLY KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2986 W KENDRICK ST, MERIDIAN, ID 83646-4151
(208) 901-0250
(208) 955-2012
Mailing address
2986 W KENDRICK ST, MERIDIAN, ID 83646-4151
(208) 901-0250
(208) 955-2012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
03/04/2019
Last updated
04/16/2026
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