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Kylie Breanne Golden

Behavior Technician in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1043085772
StatusActive
Last updated in NPPESNov 22, 2023

Details

NPI
1043085772
Entity type
Individual (NPI-1)
Name
Kylie Breanne Golden
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2023
Certification date
Nov 22, 2023
Last updated
Nov 22, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–LAYes

Practice location

11607 Southfork Ave Bldg B
Baton Rouge, LA 70816-5220

Phone 877-418-2978

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 877-418-2978 · Fax 866-500-2186

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Baton Rouge, LA

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