Provider Demographics
NPI:1447883129
Name:CAYABYAB, KATE LYLE DAWIS
Entity type:Individual
Prefix:
First Name:KATE LYLE
Middle Name:DAWIS
Last Name:CAYABYAB
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 1:9425 ROLATER RD APT 1736
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2983
Mailing Address - Country:US
Mailing Address - Phone:214-603-3367
Mailing Address - Fax:
Practice Address - Street 1:3791 VIRGINIA PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5374
Practice Address - Country:US
Practice Address - Phone:469-484-4451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst