Brechlin, Kylie Dawn

Brechlin, Kylie Dawn is an sole proprietor health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Brechlin, Kylie Dawn can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Dr Ste D101 Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax: (801) 295-5537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1972013712
LBN Legal business name Brechlin, Kylie Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2017
Last updated Dec 19th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972013712 NPPES
Utah MEDICAID 8760003008007

Popular Providers