Provider Demographics
NPI:1265999700
Name:NEWLAND, KAYLA
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:NEWLAND
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 1:1500 DOUGLAS ROAD, STE 230
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:844-244-1818
Mailing Address - Fax:
Practice Address - Street 1:4301 FORBES BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2510
Practice Address - Country:US
Practice Address - Phone:240-487-6946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician