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NPI Code Detail

MEDICARE: KAYLA KAMYA NAQUIN

MEDICARE: KAYLA KAMYA NAQUIN
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
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1639038011
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA KAMYA NAQUIN
Provider Business Mailing Address
First Line : 18102 RIVER LANDING DR
Second Line :
City : PRAIREVILLE
State : LA
Zip : 70769
Country : US
Telephone Number : 225-363-3649
Fax Number :
Provider Business Practice Location Address
First Line : 11607 SOUTHFORK AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-5220
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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