Individual
KAYLA ELIZABETH JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(803) 929-0011
Mailing address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
6994
SC
Other
Enumeration date
11/14/2018
Last updated
09/29/2023
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