Provider Demographics
NPI:1790458966
Name:NEIRA, KAYLA ANN (MS ED CCC/SLP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:NEIRA
Suffix:
Gender:F
Credentials:MS ED CCC/SLP
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:JAKOBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1117 BRIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-8308
Mailing Address - Country:US
Mailing Address - Phone:716-696-0066
Mailing Address - Fax:
Practice Address - Street 1:30 HAZELWOOD DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14228-2234
Practice Address - Country:US
Practice Address - Phone:771-631-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030898235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist