Individual
KYLE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(317) 527-5437
(317) 318-1356
Mailing address
8 THE GREEN, STE R, DOVER, DE 19901-3618
(239) 354-7273
(239) 354-7273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
00435
OH
103K00000X
Behavior Analyst
01096676
—
103K00000X
Behavior Analyst
Primary
3154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300012092
—
IN
Enumeration date
01/27/2011
Last updated
09/14/2020
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