Healthcare Provider Details

I. General information

NPI: 1205799418
Provider Name (Legal Business Name): KAYLA ARSENAULT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA HOUK

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 COUNTY ROAD 688
ATHENS TN
37303-6212
US

IV. Provider business mailing address

132 COUNTY ROAD 688
ATHENS TN
37303-6212
US

V. Phone/Fax

Practice location:
  • Phone: 423-435-3770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-497496
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: