Healthcare Provider Details

I. General information

NPI: 1245194620
Provider Name (Legal Business Name): KAYLA MARIAH ZUNIGA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 MELROSE AVE
NASHVILLE TN
37211-2161
US

IV. Provider business mailing address

7160 SMOKEY HILL RD
ANTIOCH TN
37013-4899
US

V. Phone/Fax

Practice location:
  • Phone: 615-832-8955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-313957
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: