Provider Demographics
NPI:1528732195
Name:BIRDSONG, KYLE LINNE
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:LINNE
Last Name:BIRDSONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KYLIE
Other - Middle Name:LINNE
Other - Last Name:BIRDSONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:31 BROOKCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1810
Mailing Address - Country:US
Mailing Address - Phone:828-460-7387
Mailing Address - Fax:888-849-4249
Practice Address - Street 1:31 BROOKCLIFF DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1810
Practice Address - Country:US
Practice Address - Phone:828-460-7387
Practice Address - Fax:888-849-4249
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst