Kayla Jeannette Graves
Individual provider Active NPI Behavior Technician · Malden, MO
NPI 1639733777 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1639733777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1905 North Douglas
Malden, MO 63863-2110 - Phone
- (573) 276-5257
- NPI assigned
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1905 North Douglas
Malden, MO 63863-2110
Mailing address
1905 North Douglas
Malden, MO 63863-2110
Phone (573) 276-5257
Other providers in Malden, MO
- Kayla Leann Fuller
- Maria Garcia
- Abbi J Garris
- Jacqueline Gonzalez
- Grace in-Home Care, LLC
- Hampton House of Malden Inc.
- Bryan David Harris
- Chloe Del Hendrix
- Jerry Gail Herring
- Cynthia C Hubbard
All providers in Malden, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.