Individual
KAYLA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, MD
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5326
(248) 436-4400
Mailing address
500 N VALLEY PKWY STE 103, LEWISVILLE, TX 75067-3479
(469) 946-8400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6884
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/15/2020
Last updated
04/29/2024
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