Henderson, Kayla

Henderson, Kayla is an individual health care provider with primary practice located at 3727 Executive Center Dr , Augusta GA 30907-2398. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Henderson, Kayla can be contacted via phone (706) 842-5330.

Contact Information

Primary practice address
3727 Executive Center Dr Augusta GA 30907-2398
Phone: (706) 842-5330
Fax: (706) 842-5340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-20-11286
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-46619 South Carolina

Profile Details

NPI number 1548872054
LBN Legal business name Henderson, Kayla
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2020
Last updated Jul 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548872054 NPPES
South Carolina Other 1-20-46619 BACB
South Carolina Other 0-20-11286 BACB

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