Provider Demographics
NPI:1992690606
Name:STONE, MYKAYLA C
Entity type:Individual
Prefix:
First Name:MYKAYLA
Middle Name:C
Last Name:STONE
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 1:4337 RAMSEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-3541
Mailing Address - Country:US
Mailing Address - Phone:916-747-8064
Mailing Address - Fax:
Practice Address - Street 1:4337 RAMSEY DR
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-3541
Practice Address - Country:US
Practice Address - Phone:916-747-8064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst