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NPI Code Detail

MEDICARE: KAYLA SUE MARTIN

MEDICARE: KAYLA SUE MARTIN
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1407357858
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA SUE MARTIN
Provider Business Mailing Address
First Line : 924 W 6TH ST
Second Line :
City : JUNCTION CITY
State : KS
Zip : 66441-3229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 924 W 6TH ST
Second Line :
City : JUNCTION CITY
State : KS
Zip : 66441-3229
Country : US
Telephone Number : 510-268-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2018
Last Update Date : 09/25/2025

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Directions to “ KAYLA SUE MARTIN ” Practice Location

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