Provider Demographics
NPI:1558826354
Name:KANABLE, KAYLA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:KANABLE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:KANABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PARRISH, LATTER
Mailing Address - Street 1:34 CANYON LN
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-8852
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:901 WHALEN RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1765
Practice Address - Country:US
Practice Address - Phone:608-690-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI429-140103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician