Provider Demographics
NPI:1073134631
Name:EYLER, KYLEE Y
Entity Type:Individual
Prefix:
First Name:KYLEE
Middle Name:Y
Last Name:EYLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MOUNTBATTEN CT APT 101
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5497
Mailing Address - Country:US
Mailing Address - Phone:240-818-9044
Mailing Address - Fax:
Practice Address - Street 1:4 MOUNTBATTEN CT APT 101
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-5497
Practice Address - Country:US
Practice Address - Phone:240-818-9044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician