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Individual

KAYLA BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1324 20TH AVE SW STE 2, MINOT, ND 58701-6452
(701) 858-0009
(701) 516-8462
Mailing address
1324 20TH AVE SW STE 2, MINOT, ND 58701-6452
(701) 858-0009

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L85
ND
106S00000X
Behavior Technician
RBT-21-171917
ND

Other

Enumeration date
08/06/2021
Last updated
06/22/2023
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