Individual
KAYLA E BRESHEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3978 SORRENTO VALLEY BLVD STE 100, SAN DIEGO, CA 92121-1436
(858) 428-0222
Mailing address
3978 SORRENTO VALLEY BLVD STE 100, SAN DIEGO, CA 92121-1436
(858) 428-0222
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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