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NPI Code Detail

MEDICARE: KAYLA PEASE

MEDICARE: KAYLA PEASE
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1558207183
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA PEASE
Provider Business Mailing Address
First Line : N62W23302 SILVER SPRING DR UNIT 206I
Second Line :
City : SUSSEX
State : WI
Zip : 53089-3889
Country : US
Telephone Number : 850-812-9245
Fax Number :
Provider Business Practice Location Address
First Line : 1433 N WATER ST STE 400
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2603
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ KAYLA PEASE ” Practice Location

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