Organization
WILDFLOWER ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLYNN NEWTON (OWNER)
(254) 640-6438
Entity
Organization
Contact information
Practice address
49 JORDANS RD, AMISSVILLE, VA 20106-4033
(254) 640-6438
Mailing address
49 JORDANS RD, AMISSVILLE, VA 20106-4033
(254) 640-6438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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