Provider Demographics
NPI:1225546294
Name:WELLS, KAYLA (PSYD, BCBA)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:WELLS
Suffix:
Gender:F
Credentials:PSYD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 SOLISTA CIR
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-1977
Mailing Address - Country:US
Mailing Address - Phone:909-342-4776
Mailing Address - Fax:
Practice Address - Street 1:1570 SOLISTA CIR
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1977
Practice Address - Country:US
Practice Address - Phone:909-342-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-18-31242103K00000X
CAPSY35417103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst