Individual
KAYLA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1425 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45432-2674
(937) 320-3888
(937) 320-3848
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2406345
OH
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171776
—
OH
Enumeration date
06/20/2018
Last updated
03/09/2026
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