Individual
KAYLA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S BCBA/LBS
Contact information
Practice address
310 MARKET ST, KINGSTON, PA 18704-5442
(862) 268-2371
Mailing address
310 MARKET ST, KINGSTON, PA 18704-5442
(862) 268-2371
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006917
PA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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