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NPI Code Detail

MEDICARE: KAYLA BANKES

MEDICARE: KAYLA BANKES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1073127296
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA BANKES
Provider Business Mailing Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6719
Country : US
Telephone Number : 210-670-8028
Fax Number :
Provider Business Practice Location Address
First Line : 1717 S AIR DEPOT BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-5103
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2020
Last Update Date : 08/12/2022

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Directions to “ KAYLA BANKES ” Practice Location

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