Most Relevant Information
Provider Data
| NPI Number: | 1003453341 |
| Provider Name: | KAYLA MINTON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | RBT-19-7922-179166 |
Most Important Dates
| Enumeration Date: | 12/05/2019 |
| Last Updated: | 12/05/2019 |
Provider Practice Location
380 CLEVELAND PL
VIRGINIA BEACH
VA
234626529
Practice Location Phone/Fax
| Phone: | 7574165290 |
| Fax: |
Provider Mailing Location
380 CLEVELAND PL
VIRGINIA BEACH
VA
234626529
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |