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NPI Code Detail

MEDICARE: KAYLA THOMAS MA

MEDICARE: KAYLA THOMAS MA
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487863122
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA THOMAS MA
Provider Business Mailing Address
First Line : 9755 LINCOLN VILLAGE DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-3334
Country : US
Telephone Number : 916-363-6103
Fax Number :
Provider Business Practice Location Address
First Line : 9755 LINCOLN VILLAGE DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-3334
Country : US
Telephone Number : 916-363-6103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 04/26/2018

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Directions to “ KAYLA THOMAS MA” Practice Location

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