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NPI Code Detail

MEDICARE: KAYLA VINSON

MEDICARE: KAYLA VINSON
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 : 1417761842
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA VINSON
Provider Business Mailing Address
First Line : 8232 MCFARLAND RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-8118
Country : US
Telephone Number : 317-652-7433
Fax Number :
Provider Business Practice Location Address
First Line : 6351 S EAST ST STE A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-7116
Country : US
Telephone Number : 463-277-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 03/05/2025

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Directions to “ KAYLA VINSON ” Practice Location

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