Individual
JAYLA C WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11137 LANDSEER DR, SAINT LOUIS, MO 63136-5874
(314) 585-0990
Mailing address
11137 LANDSEER DR, SAINT LOUIS, MO 63136-5874
(314) 585-0990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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