Most Relevant Information
Provider Data
| NPI Number: | 1003196098 |
| Provider Name: | KAYLON MIMS CARPENTER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2011 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
7026 SOUTHGATE DR SE
OWENS CROSS ROADS
AL
357639289
Practice Location Phone/Fax
| Phone: | 2058623365 |
| Fax: |
Provider Mailing Location
7026 SOUTHGATE DR SE
OWENS CROSS ROADS
AL
357639289
Provider Mailing Phone/Fax
| Phone: | 2058623365 |
| Fax: |