Individual
KAYLA SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
402 W LINCOLN TRAIL BLVD STE C, RADCLIFF, KY 40160-2011
(270) 883-5547
Mailing address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
275862
KY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/26/2017
Last updated
02/22/2022
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