Provider Demographics
NPI:1477002418
Name:KAAI-ENGLISH, WAYLON-REIS
Entity Type:Individual
Prefix:
First Name:WAYLON-REIS
Middle Name:
Last Name:KAAI-ENGLISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2472 CAPISTRANO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-2106
Mailing Address - Country:US
Mailing Address - Phone:702-782-4550
Mailing Address - Fax:
Practice Address - Street 1:2472 CAPISTRANO AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-2106
Practice Address - Country:US
Practice Address - Phone:702-782-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health