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NPI Code Detail

MEDICARE: KAYLA ALLEN

MEDICARE: KAYLA ALLEN
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
1106E00000XAssistant Behavior Analyst0-26-17072FL
2106S00000XBehavior Technician

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 : 1669144374
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA ALLEN
Provider Business Mailing Address
First Line : 15048 14TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33523-2503
Country : US
Telephone Number : 352-232-8997
Fax Number :
Provider Business Practice Location Address
First Line : 15048 14TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33523-2503
Country : US
Telephone Number : 352-232-8997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 04/13/2026

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Directions to “ KAYLA ALLEN ” Practice Location

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