Individual
KAYLA SHANEA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1401 UNIVERSAL CITY BLVD, UNIVERSAL CITY, TX 78148-3317
(210) 336-1524
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-32078
BACB
LA
Enumeration date
12/03/2018
Last updated
12/03/2018
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