Individual
KAITLYN MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13988 SAWTEETH WAY, CENTREVILLE, VA 20121-4263
(334) 549-1018
Mailing address
13988 SAWTEETH WAY, CENTREVILLE, VA 20121-4263
(334) 549-1018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000511
VA
Other
Enumeration date
09/15/2012
Last updated
05/05/2016
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