IndividualActive
Kayla Bates-Brantley
NPI 1700266947 · Clinical Child & Adolescent Psychologist · Mississippi State, MS
Provider details
- NPI number
- 1700266947
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 631161 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Practice location
1219 Blackjack Road
Mississippi State, MS 39762-9727
Phone: (662) 325-0152
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9727
Mississippi State, MS 39762-9727
Additional practice locations (2)
- 32 Millbranch Rd Ste 40Hattiesburg, MS 39402Phone: (601) 255-5264Fax: (866) 625-0559
- 444 S 44th StOmaha, NE 68131Phone: (402) 559-6408Fax: (402) 559-5737
Registry dates
- Enumerated
- 2015-06-03
- Last updated
- 2023-11-15
- Certified
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.