Kyle Taylor Stcharles
Individual provider Active NPI Behavior Technician · Flushing, MI
NPI 1710448337 · NPPES record last updated Aug 24, 2021
Key facts
- NPI
- 1710448337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2521 N Elms Rd
Flushing, MI 48433-9423 - Phone
- (866) 498-3909
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2521 N Elms Rd
Flushing, MI 48433-9423
Mailing address
2521 N Elms Rd
Flushing, MI 48433-9423
Other providers in Flushing, MI
- Jessica Ann Stacy
- Nasia Stacy
- Shalona Stacy
- Kristine Stamos
- Donna Jo Starks
- Denise Steel
- Josephine Stein
- Zachary Steinbacher
- Samantha Sterling
- Autumn Stern
All providers in Flushing, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.