Individual
KAYLA AYERS BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
1332 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 795-3053
(855) 847-6799
Mailing address
1332 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 795-3053
(855) 847-6799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001663
VA
Other
Enumeration date
02/22/2020
Last updated
12/12/2024
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