Most Relevant Information
Provider Data
| NPI Number: | 1003494808 |
| Provider Name: | KAITLYN LYFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-43716 |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
302 OAKLEY AVE
LYNCHBURG
VA
24501
Practice Location Phone/Fax
| Phone: | 4346107087 |
| Fax: | 4346600699 |
Provider Mailing Location
302 OAKLEY AVE
LYNCHBURG
VA
24501
Provider Mailing Phone/Fax
| Phone: | 4346107087 |
| Fax: | 4346600699 |