Individual
KAYLA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
4330 GOLF TER STE 218, EAU CLAIRE, WI 54701-4688
(608) 709-9141
Mailing address
4330 GOLF TER STE 218, EAU CLAIRE, WI 54701-4688
(608) 709-9141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
98-140
WI
Other
Enumeration date
11/20/2016
Last updated
04/17/2019
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