DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KAILEY KENNALLY

MEDICARE: KAILEY KENNALLY
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 Analyst1-19-37624CA

General Provider Information

NPI Number : 1598272213
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILEY KENNALLY
Provider Business Mailing Address
First Line : 177 E COLORADO BLVD STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-1955
Country : US
Telephone Number : 844-669-7827
Fax Number :
Provider Business Practice Location Address
First Line : 177 E COLORADO BLVD STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-1955
Country : US
Telephone Number : 844-669-7827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2018
Last Update Date : 02/14/2022

Similar Medicare Providers

1346108180 — COURTNEY MCCOY
Practice Location Address:
177 E COLORADO BLVD STE 200
PASADENA, CA
91105-1955
Practice Phone: 844-699-7827
Practice Fax:
1447118690 — ANGELITA GABRIELLE KELLY
Practice Location Address:
177 E COLORADO BLVD STE 200
PASADENA, CA
91105-1955
Practice Phone: 626-421-7960
Practice Fax:
1033076773 — VERONICA RAMIREZ
Practice Location Address:
177 E COLORADO BLVD STE 200
PASADENA, CA
91105-1955
Practice Phone: 844-669-7827
Practice Fax:
1700208154 — MS. PAMELA RUSSELL
Practice Location Address:
177 E COLORADO BLVD STE 200
PASADENA, CA
91105-1955
Practice Phone: 844-669-7827
Practice Fax:
1184047201 — LAUREN DENOIA LEP, BCBA
Practice Location Address:
177 E COLORADO BLVD STE 200
PASADENA, CA
91105-1955
Practice Phone: 844-669-7827
Practice Fax:
1477102267 — SUZANNE MACPHERSON
Practice Location Address:
177 E COLORADO BLVD STE 200
PASADENA, CA
91105-1955
Practice Phone: 844-669-7827
Practice Fax:

Directions to “ KAILEY KENNALLY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.