Most Relevant Information
Provider Data
| NPI Number: | 1003463571 |
| Provider Name: | KAYLA RENGEL RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/20/2019 |
| Last Updated: | 10/16/2019 |
Provider Practice Location
3721 23RD ST S APT 201
SAINT CLOUD
MN
563016199
Practice Location Phone/Fax
| Phone: | 6052712690 |
| Fax: | 6052713956 |
Provider Mailing Location
2804 E 26TH ST STE 1
SIOUX FALLS
SD
571034019
Provider Mailing Phone/Fax
| Phone: | 6052712690 |
| Fax: | 6052713956 |