Individual
MIKAYLA COLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 BUFORD RD STE A, NORTH CHESTERFIELD, VA 23235-3422
(804) 806-3933
Mailing address
2612 BUFORD RD STE A, NORTH CHESTERFIELD, VA 23235-3422
(804) 806-3933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
2204001727
VA
Other
Enumeration date
08/12/2020
Last updated
01/14/2026
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