Kayla Bankes

Individual provider Active NPI Behavior Technician · Midwest City, OK

NPI 1073127296 · NPPES record last updated Aug 12, 2022

Key facts

NPI
1073127296
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1717 S Air Depot Blvd
Midwest City, OK 73110-5103
Phone
(855) 782-7822
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1717 S Air Depot Blvd
Midwest City, OK 73110-5103

Mailing address

5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719
Phone (210) 670-8028

Other practice location 1

5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719
Phone (210) 670-8028

Other providers in Midwest City, OK

All providers in Midwest City, OK · Behavior Technician in Oklahoma

Sources for this page

Verify at the official NPI Registry.