Individual
KAYLA GROSECLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, BLDG. G, WORTHINGTON, OH 43085-3192
(614) 844-3800
Mailing address
PO BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
05/29/2014
Last updated
03/08/2021
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