Individual
KYLEE WALLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
955 INTERSTATE RIDGE DR, GAINESVILLE, GA 30501-7013
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35497
GA
Other
Enumeration date
04/16/2019
Last updated
08/14/2025
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