Provider Demographics
NPI:1396325957
Name:SHEFFIELD, KAYLIE (RBT)
Entity type:Individual
Prefix:
First Name:KAYLIE
Middle Name:
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3467 NIGHTFLOWER LN UNIT D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3790
Mailing Address - Country:US
Mailing Address - Phone:702-767-8129
Mailing Address - Fax:
Practice Address - Street 1:5248 PALM PINNACLE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-5682
Practice Address - Country:US
Practice Address - Phone:307-575-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-21-162256106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician