NPI 1073276689 · live from the CMS NPI Registry
Kaylynn Mage Archer
Behavior Analyst in Tucson, AZ. National Provider Identifier 1073276689, active.
NPI record
| NPI | 1073276689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2972 N Campbell Ave, Tucson, AZ 85719 |
| Practice phone | 855-772-8847 |
| Mailing address | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 |
| Enumerated | October 20, 2021 |
| Last updated | February 25, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.