Individual
KAYLEE SHAY STIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
6075 NAILS FERRY RD, BAXLEY, GA 31513-2680
(912) 278-1064
Mailing address
6075 NAILS FERRY RD, BAXLEY, GA 31513-2680
(912) 278-1064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74067
GA
Other
Enumeration date
11/06/2020
Last updated
07/16/2024
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