Provider Demographics
NPI:1316659600
Name:SIMPSON, CAYLA B
Entity type:Individual
Prefix:
First Name:CAYLA
Middle Name:B
Last Name:SIMPSON
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 1:1520 W MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-3538
Mailing Address - Country:US
Mailing Address - Phone:559-334-8126
Mailing Address - Fax:
Practice Address - Street 1:1520 W MEADOW AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-3538
Practice Address - Country:US
Practice Address - Phone:559-334-8126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician