Healthcare Provider Details

I. General information

NPI: 1457942005
Provider Name (Legal Business Name): KAYLA FLORES M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 WHITE PLAINS RD
BRONX NY
10470-1136
US

IV. Provider business mailing address

1012 ISLAND MANOR DR
GREENACRES FL
33413-2002
US

V. Phone/Fax

Practice location:
  • Phone: 732-838-5426
  • Fax: 732-810-0385
Mailing address:
  • Phone: 732-838-5426
  • Fax: 732-810-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12581524
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: