MEDICARE: MS. KHAILEIGH NICHELLE CAIN

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
1	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1952233470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KHAILEIGH NICHELLE CAIN

Provider Business Mailing Address
First Line	:	330 SEA SOUND CIR
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2641
Country	:	US
Telephone Number	:	703-389-9338
Fax Number	:

Provider Business Practice Location Address
First Line	:	8317 FRONT BEACH RD
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-4885
Country	:	US
Telephone Number	:	407-588-8422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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