Individual
ANDREA STAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
175 CUMBERLAND PARK DR STE 100, SAINT AUGUSTINE, FL 32095-8955
(904) 201-9129
Mailing address
23 SOL CT, ST AUGUSTINE, FL 32095-8493
(904) 307-3318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3966
—
Other
Enumeration date
12/09/2008
Last updated
08/21/2025
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