Individual
KAYLA BROOKE PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
186 WIND CHIME CT, RALEIGH, NC 27615-6486
(888) 768-0077
Mailing address
99 CORBETT WAY STE 102, EATONTOWN, NJ 07724-4260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71849
NC
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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