MEDICARE: KAYLA MCCLAIN

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	25-440737	OH

General Provider Information

NPI Number	:	1457214611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA MCCLAIN

Provider Business Mailing Address
First Line	:	2730 SAND LAKE CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-3197
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 SAND LAKE CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-3197
Country	:	US
Telephone Number	:	513-780-0477
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ KAYLA MCCLAIN ” Practice Location

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