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NPI Code Detail

MEDICARE: MRS. KAYLA BROWN MA, BCBA, LBA

MEDICARE: MRS. KAYLA BROWN MA, BCBA, LBA
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
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1225487135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAYLA BROWN MA, BCBA, LBA
Provider Business Mailing Address
First Line : 10233 E NORTHWEST HWY STE 436
Second Line :
City : DALLAS
State : TX
Zip : 75238-4418
Country : US
Telephone Number : 855-782-7822
Fax Number :
Provider Business Practice Location Address
First Line : 10233 E NORTHWEST HWY STE 436
Second Line :
City : DALLAS
State : TX
Zip : 75238-4418
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 08/23/2023

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