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General NPI Number Information
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NPI Number | 1295267128
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Entity Type | Individual
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Provider Name | KAYLA DEANN EVANS M.A., BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 2444 COMMERCE RD SUITE 215
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7560
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Country | US
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Telephone | 615-294-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 604 CANADY RD
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City | SNEADS FERRY
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State | NC
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Zip | 28460-6524
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Country | US
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Telephone | 910-934-2558
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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