Organization
ALLAY BEHAVIORAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILKERSON BCBA (OWNER/MEMBER)
(614) 900-2403
Entity
Organization
Contact information
Practice address
1750 TREE BLVD STE 6, ST AUGUSTINE, FL 32084-5719
(904) 206-7024
(866) 374-7560
Mailing address
1750 TREE BLVD STE 6, ST AUGUSTINE, FL 32084-5719
(904) 206-7024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
11/02/2022
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