Most Relevant Information
Provider Data
| NPI Number: | 1003593435 |
| Provider Name: | KAYLA ANN A STEPHENS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-284593 |
Most Important Dates
| Enumeration Date: | 06/28/2023 |
| Last Updated: | 06/28/2023 |
Provider Practice Location
5101 DUNLEA CT UNIT 201
WILMINGTON
NC
284053448
Practice Location Phone/Fax
| Phone: | 9103906626 |
| Fax: |
Provider Mailing Location
116 WATERFALL DR
JACKSONVILLE
NC
285407611
Provider Mailing Phone/Fax
| Phone: | 9109155074 |
| Fax: |