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NPI Code Detail

MEDICARE: KAYLA PAGE CHARLES

MEDICARE: KAYLA PAGE CHARLES
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 Analyst

General Provider Information

NPI Number : 1578345898
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA PAGE CHARLES
Provider Business Mailing Address
First Line : 3304 BEAVER CREEK RD
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-8314
Country : US
Telephone Number : 904-891-2393
Fax Number :
Provider Business Practice Location Address
First Line : 400 LAKE DOW RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30252-2926
Country : US
Telephone Number : 646-420-6837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2023
Last Update Date : 03/06/2025

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Directions to “ KAYLA PAGE CHARLES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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