Individual
KAYLA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43032 STUARTS GLEN TER UNIT 115, ASHBURN, VA 20148-8142
(859) 285-0899
Mailing address
43032 STUARTS GLEN TER UNIT 115, ASHBURN, VA 20148-8142
(859) 285-0899
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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