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NPI Code Detail

MEDICARE: KAYLA RAY ROSADO

MEDICARE:   KAYLA RAY ROSADO
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 Analyst

General Provider Information

NPI Number : 1871131474
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA RAY ROSADO
Provider Business Mailing Address
First Line : 412 1/2 PARK LN
Second Line :
City : MANKATO
State : MN
Zip : 56001-2038
Country : US
Telephone Number : 507-383-7621
Fax Number :
Provider Business Practice Location Address
First Line : 1701 ADAMS ST
Second Line :
City : MANKATO
State : MN
Zip : 56001-4895
Country : US
Telephone Number : 507-682-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2019
Last Update Date : 11/26/2025

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Directions to “ KAYLA RAY ROSADO ” Practice Location

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