Individual
KAYLA BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 PLANTERS RIDGE DR, BOGART, GA 30622-2084
(785) 806-1634
Mailing address
1161 PLANTERS RIDGE DR, BOGART, GA 30622-2084
(785) 806-1634
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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