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NPI Code Detail

MEDICARE: KAYLA MARIE COLE BCBA

MEDICARE: KAYLA MARIE COLE 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
1103K00000XBehavior Analyst1-24-73617TX

General Provider Information

NPI Number : 1861065195
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MARIE COLE BCBA
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 10015 LAKEWOOD DR SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-3838
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2021
Last Update Date : 12/19/2025

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Directions to “ KAYLA MARIE COLE BCBA” Practice Location

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