Individual
JAYA GAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACAT
Contact information
Practice address
5047 VIRGINIA AVE, BLDG 500, FORT LEONARD WOOD, MO 65473-9126
(573) 596-0408
(573) 596-0314
Mailing address
941 S MCPHERSON CHURCH RD STE A, FAYETTEVILLE, NC 28303-5369
(910) 286-4784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/06/2016
Last updated
06/10/2021
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