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Contact Information

KYLEE BECKETT, RA,CDCA
4645 LINCOLN AVE
SHADYSIDE, OH43947-1242
 Phone: 361-720-2666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for KYLEE BECKETT · (Female)

NPI # 1326671785
Status Active
Credentials RA,CDCA
Entity Individual
Enumeration date 02/13/2020
Last updated 02/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 161912
  • OH License # 171783
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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