Individual
KAYLA MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 CLEVELAND PL, VIRGINIA BEACH, VA 23462-6529
(757) 416-5290
Mailing address
380 CLEVELAND PL, VIRGINIA BEACH, VA 23462-6529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-7922-179166
VA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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