Individual
KYLE KAHNWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5 CLUB HOUSE RD, BRECKENRIDGE, CO 80424-5326
(847) 977-5559
Mailing address
PO BOX 7694, BRECKENRIDGE, CO 80424-7694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30899
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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