Healthcare Provider Details

I. General information

NPI: 1487579751
Provider Name (Legal Business Name): KAYLA DINH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N HEATHERWILDE BLVD STE 340350
PFLUGERVILLE TX
78660-3757
US

IV. Provider business mailing address

1645 BELVEDERE PL
ROUND ROCK TX
78665-5630
US

V. Phone/Fax

Practice location:
  • Phone: 512-305-3826
  • Fax:
Mailing address:
  • Phone: 512-305-3826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: