Kyle Cinkowski

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

C522485367404 Issued in MI

Practice address

23400 Michigan Ave
Suite P40
Dearborn, MI 48124-1928

Phone

(313) 689-5188

NPI assigned

Feb 14, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1023557899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 BELLETERRE ST",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339702",
            "telephone_number": "734-735-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23400 MICHIGAN AVE",
            "address_2": "SUITE P40",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241928",
            "telephone_number": "313-689-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINKOWSKI",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "C522485367404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dua Cieslak
• Lauren Elizabeth Cieslak, FNP-BC
• Richard Cieslak, MD
• Amanda Provost Cimino, DO
• Anthony Charles Cimino, DPT
• Christel G Ciolino
• Jeannette Louise Ciolino, PT
• Shena Cisero
• Citizen Physical Therapy PLC
• City Clinic LLC

• Behavior Technician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.