Healthcare Provider Details

I. General information

NPI: 1063349934
Provider Name (Legal Business Name): KAYLEY HINMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLEY TERNAN

II. Dates (important events)

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

III. Provider practice location address

3950 SUNFOREST CT FL 2
TOLEDO OH
43623-4485
US

IV. Provider business mailing address

855 SHERIDAN RD
MARION OH
43302-7157
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 586-909-9686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: