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NPI Code Detail

MEDICARE: MS. KAYLA RODGERS

MEDICARE: MS. KAYLA RODGERS
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
1106S00000XBehavior TechnicianRBT-20-133106FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427605724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAYLA RODGERS
Provider Business Mailing Address
First Line : 1611 SANTOS ST SE UNIT B
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6408
Country : US
Telephone Number : 561-222-3407
Fax Number :
Provider Business Practice Location Address
First Line : 65 E NASA BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1961
Country : US
Telephone Number : 772-266-8727
Fax Number : 772-494-7093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 03/18/2021

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Directions to “ MS. KAYLA RODGERS ” Practice Location

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