Individual
KAYLA R WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
Mailing address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40961
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-40961
BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
TN
Enumeration date
03/05/2018
Last updated
04/01/2020
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