Healthcare Provider Details

I. General information

NPI: 1831869528
Provider Name (Legal Business Name): KAYLEE NICOLE MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5814 OLD PASCO RD
WESLEY CHAPEL FL
33544-4011
US

IV. Provider business mailing address

35820 SINGLETARY RD
MYAKKA CITY FL
34251-9504
US

V. Phone/Fax

Practice location:
  • Phone: 908-938-1577
  • Fax:
Mailing address:
  • Phone: 813-951-1864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: