Kaylynn Marie Alicea
Individual provider Active NPI Behavior Technician · Clermont, FL
NPI 1790347474 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1790347474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17335 Pagonia Dr
Clermont, FL 34711-6011 - Phone
- (407) 614-4299
- Fax
- (352) 432-0913
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- 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
17335 Pagonia Dr
Clermont, FL 34711-6011
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
Other providers in Clermont, FL
- Jeanette Brewer Alford
- Nicholas Alford
- Shanika Alfred
- Abbas Syed Ali
- Saeed Ali
- Gayle Patricia Alis-Brown
- Alisa L Lewis LLC
- Alive & Well Corp
- All Character Care
- All Character Care
All providers in Clermont, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. 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.