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NPI Code Detail

MEDICARE: KAYLA JENKINS BCBA

MEDICARE: KAYLA JENKINS BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst3843TX

General Provider Information

NPI Number : 1366922916
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA JENKINS BCBA
Provider Business Mailing Address
First Line : 2100 HEDGCOXE RD STE 190
Second Line :
City : PLANO
State : TX
Zip : 75025-3164
Country : US
Telephone Number : 469-606-0660
Fax Number :
Provider Business Practice Location Address
First Line : 2100 HEDGCOXE RD STE 190
Second Line :
City : PLANO
State : TX
Zip : 75025-3164
Country : US
Telephone Number : 469-606-0660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 07/04/2022

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