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NPI Code Detail

MEDICARE: KAYLA THOMAS

MEDICARE: KAYLA THOMAS
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
2103K00000XBehavior Analyst1263TN

General Provider Information

NPI Number : 1265021331
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA THOMAS
Provider Business Mailing Address
First Line : 10253 SOVEREIGN POINTE DR
Second Line :
City : SODDY DAISY
State : TN
Zip : 37379-3878
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 STUART RD NE STE 2
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4959
Country : US
Telephone Number : 423-285-4595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 05/22/2023

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Directions to “ KAYLA THOMAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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