Healthcare Provider Details

I. General information

NPI: 1952233470
Provider Name (Legal Business Name): MS. KHAILEIGH NICHELLE CAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8317 FRONT BEACH RD
PANAMA CITY BEACH FL
32407-4885
US

IV. Provider business mailing address

330 SEA SOUND CIR
PANAMA CITY BEACH FL
32407-2641
US

V. Phone/Fax

Practice location:
  • Phone: 407-588-8422
  • Fax:
Mailing address:
  • Phone: 703-389-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: