Individual
LAYARA CRYSTINE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
258 ASPEN VALLEY LN, DALLAS, GA 30157-1462
(678) 799-4814
Mailing address
258 ASPEN VALLEY LN, DALLAS, GA 30157-1462
(678) 799-4814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/15/2021
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