Individual
KYLIE BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PATRIOT DR STE A, MIDDLETOWN, DE 19709-8803
(302) 632-1717
Mailing address
46 CENTRAL PARK DR, HARRINGTON, DE 19952-2257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S0000X
DE
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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