Provider Demographics
NPI:1982401386
Name:HORNE, KHYLIAH L
Entity type:Individual
Prefix:
First Name:KHYLIAH
Middle Name:L
Last Name:HORNE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 MORGAN CIR APT 308
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-5096
Mailing Address - Country:US
Mailing Address - Phone:412-494-8583
Mailing Address - Fax:
Practice Address - Street 1:2060 MORGAN CIR APT 308
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-5096
Practice Address - Country:US
Practice Address - Phone:412-494-8583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician