Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Revea Willson-Costa

Individual provider Behavior Technician · NPI 1710656210

Kylie Revea Willson-Costa is a Behavior Technician in San Mateo, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1720 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2710
Phone: (650) 931-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1710656210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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