Healthcare Provider Details
I. General information
NPI: 1588295729
Provider Name (Legal Business Name): KAYLA FRANCES BARON AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2020
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44443 10TH ST W
LANCASTER CA
93534-3346
US
IV. Provider business mailing address
28034 ROBIN AVE
SANTA CLARITA CA
91350-2039
US
V. Phone/Fax
- Phone: 661-726-2630
- Fax:
- Phone: 805-791-0345
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: