Provider Demographics
NPI:1578069449
Name:LANGFORD, KYLA LOU (BCBA)
Entity Type:Individual
Prefix:
First Name:KYLA
Middle Name:LOU
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37074-3544
Mailing Address - Country:US
Mailing Address - Phone:615-450-6360
Mailing Address - Fax:
Practice Address - Street 1:855 SLEEPY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37074-3544
Practice Address - Country:US
Practice Address - Phone:615-450-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2018-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst