Provider Demographics
NPI:1225897564
Name:HYMAN, KAYLA
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:HYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 BACON RANCH RD APT 924
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2909
Mailing Address - Country:US
Mailing Address - Phone:252-885-3511
Mailing Address - Fax:
Practice Address - Street 1:1801 TRIMMIER RD STE A4
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-8513
Practice Address - Country:US
Practice Address - Phone:254-294-4488
Practice Address - Fax:512-367-5738
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-334232106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician