Mangan, Kylie Spencer

Mangan, Kylie Spencer is an individual health care provider with primary practice located at 9 Road 5287 , Bloomfield NM 87413-9749. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mangan, Kylie Spencer can be contacted via phone (505) 716-3571.

Contact Information

Primary practice address
9 Road 5287 Bloomfield NM 87413-9749
Phone: (505) 716-3571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1598397424
LBN Legal business name Mangan, Kylie Spencer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2020
Last updated Feb 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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