Individual
KYLEE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 PARK PLAZA RD, PADUCAH, KY 42001-5948
(270) 854-1482
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-295014
KS
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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