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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLIE SPENCER MANGAN

Active

KYLIE SPENCER MANGAN is a Behavior Technician healthcare provider located in BLOOMFIELD, New Mexico. NPI 1598397424 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · BLOOMFIELD, NM

Registration Details

NPI Number
1598397424
Provider Type
Individual
Gender
Female
NPI Issued
Feb 8, 2020 (6.3307343768076 yrs)
Last Updated
Feb 8, 2020

Practice Information

Address
9 ROAD 5287
BLOOMFIELD, NM, 874139749
Browse NM providers · Browse ZIP 87413
Phone
5057163571
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in BLOOMFIELD, NM

Name Credential NPI
NIDA NAQVI 1679017347
MR. RANDY R MAXSON 1043702442
TAYLOR DAWN SIMMONS 1194353045
JILLIAN BROWN 1659984730
AMBER GILES 1376142935
KATRINA YAZZIE 1982209540
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.