Provider Demographics
NPI:1467336719
Name:LANHAM, KAYLA N
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:N
Last Name:LANHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KAYLA
Other - Middle Name:N
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:5 PARAGON DR
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1791
Mailing Address - Country:US
Mailing Address - Phone:475-282-8901
Mailing Address - Fax:
Practice Address - Street 1:750 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2943
Practice Address - Country:US
Practice Address - Phone:845-237-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBACB818146103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst