Kylee Ackman
Behavior Technician in Orem, UT. Individual provider (NPI-1).
NPI number1104606185
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1104606185
- Entity type
- Individual (NPI-1)
- Name
- Kylee Ackman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2023
- Certification date
- Oct 4, 2023
- Last updated
- Oct 5, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1140 W 1130 SBuilding B20
Orem, UT 84058
Phone 801-935-4171
Mailing address
16255 Ventura Blvd Ste 830Encino, CA 91436-2317
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.
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All 1,302 Behavior Technician providers in Orem · All 3,749 providers in Orem
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