MEDICARE: MRS. KAYLA NICOLE STOKES

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1427703321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAYLA NICOLE STOKES

Provider Business Mailing Address
First Line	:	737 MAIN ST STE 100
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-3502
Country	:	US
Telephone Number	:	727-213-8851
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 MAIN ST STE 100
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-3502
Country	:	US
Telephone Number	:	727-213-8851
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	05/10/2026

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