Individual
JAYLA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2888 BRIGHTSIDE DR, BATON ROUGE, LA 70820-3509
(185) 583-2672
Mailing address
2016 SKY FARM AVE, VICKSBURG, MS 39183-2045
(601) 618-2572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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