Kaylee Taylor
Individual provider Active NPI Behavior Technician · Lavaca, AR
NPI 1972267433 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1972267433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 201 Highway 255
Lavaca, AR 72941-7313 - Phone
- (479) 353-4894
- NPI assigned
- Oct 29, 2021
- 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
201 Highway 255
Lavaca, AR 72941-7313
Mailing address
201 Highway 255
Lavaca, AR 72941-7313
Phone (479) 353-4894
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274324706 | Medicaid | AR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktaylo01@g.uafs.edu |
Other providers in Lavaca, AR
- Lavaca Wellness Clinic, P.a.
- Cynthia Leach
- Little Roots Therapy, LLC
- River Valley Primary Care Services
- River Valley Primary Care Services
- Marlene Wadley
All providers in Lavaca, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. 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.