Individual
KAYLA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
7620 CANNONBALL GATE RD, WARRENTON, VA 20186-7304
(540) 680-8275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160973
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-160973
BACB
VA
Enumeration date
07/12/2022
Last updated
09/29/2025
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