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NPI Code Detail

MEDICARE: KAYLA SMITH BCBA

MEDICARE: KAYLA SMITH BCBA
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
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1801449509
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA SMITH BCBA
Provider Business Mailing Address
First Line : 6416 NW 5TH WAY
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-6112
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Provider Business Practice Location Address
First Line : 20601 N 19TH AVE STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2666
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 08/20/2025

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Directions to “ KAYLA SMITH BCBA” Practice Location

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