Provider Demographics
NPI:1053955872
Name:HELMS, KAYLA LYNN (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:LYNN
Last Name:HELMS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8542 S COUNTY ROAD 1000 W
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:IN
Mailing Address - Zip Code:47283-9427
Mailing Address - Country:US
Mailing Address - Phone:812-614-5276
Mailing Address - Fax:
Practice Address - Street 1:3258 W MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:EDINBURGH
Practice Address - State:IN
Practice Address - Zip Code:46124-9051
Practice Address - Country:US
Practice Address - Phone:812-379-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-18-33580103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
05021993OtherBIRTHDAY