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NPI Code Detail

MEDICARE: KAYLEY SANGER PHD, BCBA-D

MEDICARE:   KAYLEY  SANGER  PHD, BCBA-D
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
1103K00000XBehavior Analyst
2103T00000XPsychologist2379AL
3103TC0700XClinical Psychologist631181MS
4103T00000XPsychologist0810008257VA

General Provider Information

NPI Number : 1447700273
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEY SANGER PHD, BCBA-D
Provider Business Mailing Address
First Line : 1118 E GADSDEN ST UNIT B
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-4126
Country : US
Telephone Number : 614-282-9895
Fax Number :
Provider Business Practice Location Address
First Line : 7400 BEAUFONT SPRINGS DR STE 300
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5519
Country : US
Telephone Number : 888-436-8836
Fax Number : 860-955-1611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2016
Last Update Date : 12/18/2024

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Directions to “ KAYLEY SANGER PHD, BCBA-D” Practice Location

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