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NPI Code Detail

MEDICARE: KAILA WHITE

MEDICARE: KAILA WHITE
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 Technician

General Provider Information

NPI Number : 1730042482
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILA WHITE
Provider Business Mailing Address
First Line : 12333 BEAR PLZ STE 200
Second Line :
City : BURLESON
State : TX
Zip : 76028-0215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12333 BEAR PLZ STE 200
Second Line :
City : BURLESON
State : TX
Zip : 76028-0215
Country : US
Telephone Number : 682-900-1444
Fax Number : 432-322-4597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ KAILA WHITE ” Practice Location

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